Individual provider Active NPI

Ndidi Ufondu, DPM

  • Foot & Ankle Surgery Podiatrist
  • Arlington, TX
National Provider Identifier
1386805919
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00296800 Issued in NJ
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

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1I7588OtherTXMEDICARE
4215576MedicaidTX
4217457MedicaidTX
1I7599OtherTXMEDICARE
7869550001OtherTXPALMETTO GBA - NSC DME

Other names 1

  • Miss Ndidi Uka Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200514003220 TX Practitioner - Podiatry 6507924420 Practice locations: Frisco, TX; Arlington, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3008TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Foot and Ankle Specialists Foot & Ankle Surgery CurrentSince Oct 5, 2020 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.

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

Verify at the official NPI Registry.