Kimberly Udell, D.O.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

L1225 Issued in TX

Practice address

3602 Matlock Rd Ste 206
Arlington, TX 76015-3600

Phone

(817) 468-1506

Fax

(817) 468-1520

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Merit-based Incentive Payment System (MIPS)

Final score

82.37 of 100Reported as group

Quality

68.64

Promoting interoperability

99

Improvement activities

40

Cost

73.42

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.udell@hca7.eclinicaldirectplus.com
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.400078

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.

• HCA Houston OB Hospitalist, PLLC

  • Obstetrics & Gynecology Physician
  • Corpus Christi, TX
  • NPI 1144081431
  Medicare reassignment NPD
• Medical City OB-GYN, PLLC

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1295275071
  Medicare reassignment NPD
• Kimberly Udell D.O., P.a.

  • Specialist
  • Arlington, TX
  • NPI 1013103191
  NPD (past) Authorized official
• Columbia Medical Center of Arlington Subsidiary LP

  • General Acute Care Hospital
  • Arlington, TX
  • NPI 1134172406
  NPD (past)
• Emmar Physicians, P.a.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1003925298
  NPD (past)
• Questcare Obstetrics PLLC

  • Obstetrics & Gynecology Physician
  • Plano, TX
  • NPI 1184897159
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1619059201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 MATLOCK RD",
            "address_2": "206",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76015",
            "telephone_number": "817-468-1506",
            "fax_number": "817-468-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 MATLOCK RD STE 206",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153600",
            "telephone_number": "817-468-1506",
            "fax_number": "817-468-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDELL",
        "first_name": "KIMBERLY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "L1225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER TX ID NUMBER",
            "identifier": "651198393",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8P5630",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10029987",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165666201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bernadine Adanna Udeozoh, RN -BSN
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• Ndidi Ufondu, DPM
• Skye Ugarte
• Ugochi A Ugwonali, LVN

• Gynecology Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.