Active NPI
Ndidi Ufondu, DPM
- Foot & Ankle Surgery Podiatrist
- Arlington, TX
National Provider Identifier
1386805919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00296800
- Practice address
- 319 Osler Dr Ste 150
Arlington, TX 76010-5407 - Phone
- (817) 538-5291
- Fax
- (682) 238-0738
- NPI assigned
- Jun 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 25MD00296800 | NJ | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 3008 | TX | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 3008 | TX | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00296800 | NJ | Primary |
Addresses
Primary practice location
319 Osler Dr Ste 150
Arlington, TX 76010-5407
Mailing address
PO Box 210773
Bedford, TX 76095-7773
Phone (817) 330-9698
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1I7588 | Other | TX | MEDICARE |
| 4215576 | Medicaid | TX | |
| 4217457 | Medicaid | TX | |
| 1I7599 | Other | TX | MEDICARE |
| 7869550001 | Other | TX | PALMETTO GBA - NSC DME |
Other names 1
- Miss Ndidi Uka
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200514003220 | TX | Practitioner - Podiatry | 6507924420 | Practice locations: Frisco, TX; Arlington, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3008 | TX | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizon Foot and Ankle Specialists | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
319 Osler Dr
Ste 150
Arlington, TX 76010
Phone (214) 557-1850
2115 University Dr
Ste 240
Frisco, TX 75033
Phone (214) 548-5033
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Arlington, TX
- NPI 1528665437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1386805919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 210773",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760957773",
"telephone_number": "817-330-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 OSLER DR STE 150",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760105407",
"telephone_number": "817-538-5291",
"fax_number": "682-238-0738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UFONDU",
"first_name": "NDIDI",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-17",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NJ",
"license": "25MD00296800",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "TX",
"license": "3008",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "3008",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00296800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1I7588",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4215576",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4217457",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1I7599",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA - NSC DME",
"identifier": "7869550001",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NDIDI",
"last_name": "UKA",
"prefix": "MISS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.