Active NPI
Nkechinyere Udenyi, MD
- Family Medicine Physician
- Cedar Park, TX
National Provider Identifier
1073684783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- T0144
- Practice address
- 3240 E Whitestone Blvd Unit 48
Cedar Park, TX 78613-1910 - Phone
- (510) 334-4171
- Fax
- (859) 757-0312
- NPI assigned
- Nov 13, 2006
- Last updated
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | T0144 | TX | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 0101267577 | VA | |
| Family Medicine Physician | 207Q00000X | T0144 | TX | Primary |
Addresses
Primary practice location
3240 E Whitestone Blvd Unit 48
Cedar Park, TX 78613-1910
Mailing address
500 E Whitestone Blvd Unit 3693
Cedar Park, TX 78630-4450
Phone (510) 334-4171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T0144 | Other | TX | TEXAS MEDICAL BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
600 C-Bar Ranch TRL
Unit 89
Cedar Park, TX 78613-2687
Phone (510) 334-4171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0144 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health Medical Group LLC | Current | Accepting new patients | |
| Shalom GP Medical Group LLC | Family Medicine | Current | Accepting new patients |
Locations
9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://fhir4.healow.com/fhir/r4/CDAADD/Endpoint/CDAADD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Cedar Park, TX
- NPI 1265176101
-
- Internal Medicine Physician
- Austin, TX
- NPI 1255640678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1073684783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E WHITESTONE BLVD UNIT 3693",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786304450",
"telephone_number": "510-334-4171",
"fax_number": "859-757-0312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3240 E WHITESTONE BLVD UNIT 48",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786131910",
"telephone_number": "510-334-4171",
"fax_number": "859-757-0312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDENYI",
"first_name": "NKECHINYERE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "TX",
"license": "T0144",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "VA",
"license": "0101267577",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "T0144",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL BOARD",
"identifier": "T0144",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
- Two Therapies in a Pod, PLLC (Two Therapies In A Pod)
- TX DDS Alliance - Marbella, LLC (Cedar Park Dental & Braces)
- Txim, PLLC (Central Texas Integrative Medicine)
- Vivian Tzec, BCBA
- U S Anesthesia Partners of Texas, PA
- Farah Galo Ulat
- Martin Bernardo Ulloa
- Unique Weight Loss and Family Practice
- United Home Medical
- Lauren Upton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.