Kudo Care Medical PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KUDO CARE MEDICAL PLLC

Practice address

3425 Grande Bulevar
Irving, TX 75062-5108

Phone

(972) 258-8354

NPI assigned

Jun 15, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Anh Tat Nguyen, MDNPI 1578726154

Title

Physician

Phone

(972) 639-5836

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16213/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anh Tat Nguyen, MD

  • Family Medicine Physician
  • Irving, TX
  • NPI 1578726154

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Maxine Estrada, FNP-C

  • Family Medicine Physician
  • Irving, TX
  • NPI 1558869487
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1225568967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 GRANDE BULEVAR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625108",
            "telephone_number": "972-639-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 GRANDE BULEVAR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625108",
            "telephone_number": "972-258-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUDO CARE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANH",
        "authorized_official_middle_name": "TAT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-639-5836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassian A Kruse, AU.D.
• Janzen Krysl
• Erica A. Kubis, CRNA
• Kudo Care Dental PLLC
• Kudo Care Eye Center PLLC
• Kudo Care Optometry PLLC
• Deepti S Kudyadi, MD
• Victoria Kuehn, MS CF-SLP
• Laurette Dekat Kugelmann, MD, MPH
• Poorva Rahul Kulkarni, PT

• Family Medicine Physician in Irving, TX
• Providers in Irving, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.