LILIAN UDO NP
NPI 1104461912
Nurse Practitioner - Family in Bronx, NY

Active since November 15, 2019PECOS EnrolledAccepts Medicare Assignment
1650 GRAND CONCOURSE, BRONX, NY 10457(718) 992-7669 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2024, Nov 15, 2019 (2 updates tracked since 2019).

About Lilian Udo Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILIAN UDO NP (NPI 1104461912) is an individual family provider in Bronx, New York, licensed in New York (347448) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Bronxcare Hospital Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104461912
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLILIAN UDOCredential: NP
Location Address1650 GRAND CONCOURSEBronx, NY 10457-7679
Mailing Address1650 Grand ConcourseBronx, NY 10457-7679 · (718) 992-7669
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 15, 2019
Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
NPI 1104461912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 347448
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 545356 (NY)
1650 GRAND CONCOURSE, Bronx, NY 10457

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lilian Udo Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406241306
PECOS Enrollment IDI20220310002800
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bronxcare Hospital Center

Acute Care Hospitals · Bronx, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330009
Location1276 Fulton AvenueBronx, NY 10456 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10457 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1650 GRAND CONCOURSE
BRONX, NY 10457
Clinic/Center
1650 GRAND CONCOURSE
BRONX, NY 10457
Emergency Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Family Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
1650 GRAND CONCOURSE
BRONX, NY 10457
Internal Medicine (Gastroenterology)
1650 GRAND CONCOURSE
BRONX, NY 10457
Internal Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Family Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lilian Udo's NPI number?

The NPI number for Lilian Udo is 1104461912. It was assigned to this individual provider in the NPPES registry on November 15, 2019.

Where is Lilian Udo located?

Lilian Udo practices at 1650 Grand Concourse, Bronx, NY 10457. The listed phone number is (718) 992-7669.

What is Lilian Udo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lilian Udo enrolled in Medicare?

Yes. Lilian Udo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lilian Udo affiliated with any hospitals?

According to CMS data, Lilian Udo is affiliated with Bronxcare Hospital Center.

When was this NPI record last updated?

The NPPES record for Lilian Udo was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.