Active NPI
Jesus D Ucol, MD PA
- Pediatrics Physician
- Wichita Falls, TX
National Provider Identifier
1861493231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- J9407
- Practice address
- 1718 10TH St
Ste a
Wichita Falls, TX 76301-5053 - Phone
- (940) 761-5437
- Fax
- (940) 761-5400
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | J9407 | TX | Primary |
Addresses
Primary practice location
1718 10TH St
Ste a
Wichita Falls, TX 76301-5053
Mailing address
PO Box 4167
1718 10TH St. Suite a
Wichita Falls, TX 76308-0167
Phone (940) 761-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1211948 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J9407 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Regional Health Care System Inc | Current | Accepting new patients | |
| Jesus D Ucol MD PA | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
- jucol14898@unitedregional.medalliesdirect.net
- jesusucol@jdumdpa.allscriptsdirect.net
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Wichita Falls, TX
- NPI 1003908351
-
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1861493231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4167",
"address_2": "1718 10TH ST. SUITE A",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763080167",
"telephone_number": "940-761-5437",
"fax_number": "940-761-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 10TH ST",
"address_2": "STE A",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763015053",
"telephone_number": "940-761-5437",
"fax_number": "940-761-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UCOL",
"first_name": "JESUS",
"middle_name": "D",
"credential": "MD PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "J9407",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1211948",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.