Individual provider Active NPI

Lanre Udu, MD

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1629566906
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U5830 Issued in TX
Practice address
5900 Balcones Dr # 14428
Austin, TX 78731-4257
Phone
(313) 204-1188
NPI assigned
Apr 23, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X U5830 TX
Internal Medicine Physician 207R00000X 84432 GA
Internal Medicine Physician 207R00000X U5830 TX Primary

Addresses

Primary practice location

5900 Balcones Dr # 14428
Austin, TX 78731-4257

Mailing address

5900 Balcones Dr # 14428
Austin, TX 78731-4257
Phone (512) 379-7071

Other practice location 1

1705 Jackson St
Richmond, TX 77469-3246
Phone (281) 341-3000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231107003513 TX Practitioner - Internal MedicinePractitioner - Emergency Medicine 3274884986 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Emergency Physicians PLLCGroup PAC ID 4880048560, 94 clinicians
Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians
Jasper Emergency Physicians PLLCGroup PAC ID 9133573983, 58 clinicians

Practice addresses (Care Compare)

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

4000 Spencer Hwy
Pasadena, TX 77504-1202
Phone (713) 359-2000

6901 Medical Ctr Dr
Orange, TX 77630-1407
Phone (281) 417-5003

Hospital & facility affiliations

  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
  • HCA Houston Healthcare Southeast Hospital, Pasadena, TX, CCN 450097

Merit-based Incentive Payment System (MIPS)

Final score
99.17 of 100Reported as group
Improvement activities
40
Cost
78.35

Merit-based Incentive Payment System (MIPS)

Final score
78.92 of 100Reported as group
Quality
71.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84432GAMDInternal Medicine Physician
10449GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince May 16, 2024 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Jasper Emergency Physicians, PLLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Jefferson Emergency Physicians, PLLC Emergency Medicine CurrentSince Jun 3, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

6191 E Sam Houston Pkwy N
Houston, TX 77049
Phone (281) 454-2600

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

6901 Medical Center Dr
Orange, TX 77630
Phone (281) 417-5003

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1629566906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR # 14428",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "512-379-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR # 14428",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "313-204-1188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774693246",
            "country_code": "US",
            "telephone_number": "281-341-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDU",
        "first_name": "LANRE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-23",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U5830",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "84432",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U5830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.