Queeneth Uwandu, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

W0767 Issued in TX

Practice address

207 E Parkerville Rd
Desoto, TX 75115-6251

Phone

(385) 454-5027

Fax

(801) 742-8381

NPI assigned

Sep 4, 2020

Reactivated

Jun 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Internal Medicine

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lowell General Inpatient Specialists PLLC

  • Internal Medicine Physician
  • Lowell, MA
  • NPI 1649626391
  Medicare reassignment NPD
• High Baldy PLLC

  • Family Medicine Physician
  • Desoto, TX
  • NPI 1225851579
  Medicare reassignment

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1396359410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 N THANKSGIVING WAY STE 190",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840484157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E PARKERVILLE RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751156251",
            "telephone_number": "385-454-5027",
            "fax_number": "801-742-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UWANDU",
        "first_name": "QUEENETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "deactivation_date": "2020-10-07",
        "reactivation_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "W0767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pablo V Uceda, MD
• Unity Medical Equipment &Supplies, Inc.
• Universal Healthcare,Inc.
• Victoria Urbina
• Uta Cartage LLC
• Winifred Uzoigwe
• Allan Chad Van Horn, M.D.
• Brianna Vandenbroader
• Carolyn Jill Vandiver, MD
• Kochuparampil Thomas Varghese, MD

• Internal Medicine Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.

Verify at the official NPI Registry.