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Etinosa Idemudia, MD
NPI 1992699094 · Psychiatry Physician · Urbana, IL
Etinosa Idemudia, MD is a Psychiatry Physician provider in Urbana, IL (NPI 1992699094).
Provider details
- NPI number
- 1992699094
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 125.086201 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
611 W Park St
Urbana, IL 61801-2501
Phone: (217) 383-4229
Street-level locationGet directions
Mailing address
5209 Foggia Ave
Las Vegas, NV 89130-7059
Registry dates
- Enumerated
- 2025-06-04
- Last updated
- 2025-06-04
- Certified
- 2025-06-04
Frequently asked questions
- What is Etinosa Idemudia's NPI number?
- Etinosa Idemudia's National Provider Identifier (NPI) is 1992699094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Etinosa Idemudia's specialty?
- Etinosa Idemudia is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Etinosa Idemudia located?
- Etinosa Idemudia's practice location on file with NPPES is 611 W Park St, Urbana, IL 61801-2501.
- What is Etinosa Idemudia's phone number?
- The practice phone number listed in the NPPES registry for Etinosa Idemudia is (217) 383-4229.
- Is Etinosa Idemudia's NPI active?
- Yes — Etinosa Idemudia's NPI (1992699094) is active in the NPPES registry as of the last update on 2025-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.