Pablo V Uceda, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

J4675 Issued in TX

Practice address

2801 Bolton Boone Dr Ste 105
Desoto, TX 75115-2041

Phone

(214) 946-5165

Fax

(972) 296-2522

NPI assigned

May 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DFW Vascular Group LLPGroup PAC ID 0941391072, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051
• Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pablo.uceda@1290.direct.myezyaccess.com

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.

• DFW Vascular Group LLP

  • Vascular Surgery Physician
  • Desoto, TX
  • NPI 1467585786
  Medicare reassignment Care Compare group NPD
• Miller-Franklin Limited Liability Partnership

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
  • NPI 1821253907
  NPD

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

• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1275592131
  Care Compare affiliation
• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1528027786
  Care Compare affiliation

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1508813916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BOLTON BOONE DR STE 105",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152041",
            "telephone_number": "214-946-5165",
            "fax_number": "972-296-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BOLTON BOONE DR STE 105",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152041",
            "telephone_number": "214-946-5165",
            "fax_number": "972-296-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCEDA",
        "first_name": "PABLO",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J4675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR-MEDICARE",
            "identifier": "020041464",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118128101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118128104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Patrick Tucker, DC
• Mechiell Demetrius Tucker, PA
• Charles C Tuen, M.D.
• TVWC
• Dorneisia Tyson
• Unity Medical Equipment &Supplies, Inc.
• Universal Healthcare,Inc.
• Victoria Urbina
• Uta Cartage LLC
• Queeneth Uwandu, MD

• Surgery Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.