Active NPI
Jesse Uduma, DO
- Hospitalist Physician
- Katy, TX
National Provider Identifier
1417644139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- W1011
- Practice address
- 23900 Katy Fwy
Katy, TX 77494-1323 - Phone
- (281) 644-8111
- NPI assigned
- Apr 21, 2023
- Last updated
- Oct 22, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | W1011 | TX | |
| Hospitalist Physician | 208M00000X | W1011 | TX | Primary |
Addresses
Primary practice location
23900 Katy Fwy
Katy, TX 77494-1323
Mailing address
930 Frostwood Dr Ste 2.200
Houston, TX 77024-2450
Phone (281) 644-8111
Other practice location 1
6431 Fannin St
Houston, TX 77030-1501
Phone (713) 500-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Philadelphia College of Osteopathic Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1643 NW 136TH Ave
Sunrise, FL 33323-3091
1643 NW 136TH Ave BLDG H
Suite 100 MSC 11607 00
Sunrise, FL 33323-3091
930 Frostwood Dr
Suite 2.200
Houston, TX 77024-2450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34868479 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792627200000",
"number": "1417644139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 FROSTWOOD DR STE 2.200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242450",
"telephone_number": "281-644-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23900 KATY FWY",
"city": "KATY",
"state": "TX",
"postal_code": "774941323",
"telephone_number": "281-644-8111"
}
],
"practiceLocations": [
{
"address_1": "6431 Fannin St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770301501",
"country_code": "US",
"telephone_number": "713-500-6500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UDUMA",
"first_name": "JESSE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-21",
"last_updated": "2026-10-22",
"certification_date": "2026-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "W1011",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "W1011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.