NPIMap

Individual provider Active NPI

Victoria Udezi, MD

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1407242076
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R9305 Issued in TX
Practice address
5323 Harry Hines Blvd
Dallas, TX 75390-0001
Phone
(214) 266-0312
NPI assigned
Apr 10, 2015
Last updated
Oct 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R9305 TX Primary

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75390-0001

Mailing address

5920 Forest Park Rd Ste 600
Dallas, TX 75235-6416
Phone (214) 266-0312

Other practice location 1

5290 Forest Park Rd
6th Floor
Dallas, TX 75390-0001
Phone (214) 648-3085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181221000602 TX Practitioner - Family Practice 2264777176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3030 Waterview Pkwy
Richardson, TX 75080-1400
Phone (972) 669-7070

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R9305TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brother Bills Helping Hand Family Medicine CurrentSince Sep 6, 2025 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Oct 26, 2018 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Family Medicine CurrentSince Oct 26, 2018 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients

Locations

3906 N Westmoreland Rd
Dallas, TX 75212
Phone (214) 638-2194

5920 Forest Park Rd
Dallas, TX 75235
Phone (214) 266-0312

5920 Forest Park Rd
Ste 600
Dallas, TX 75235
Phone (214) 350-7500

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484

3030 Waterview Pkwy
Richardson, TX 75080
Phone (972) 669-7070

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: victoria.udezi.1@18564.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 44

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1407242076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 FOREST PARK RD STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356416",
            "telephone_number": "214-266-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753900001",
            "telephone_number": "214-266-0312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5290 Forest Park Rd",
            "address_2": "6th Floor",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753900001",
            "country_code": "US",
            "telephone_number": "214-648-3085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDEZI",
        "first_name": "VICTORIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R9305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.