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ENOBONG C. UDO A-GNP
NPI 1124518253
Nurse Practitioner in Dallas, TX

Active since May 15, 2018PECOS EnrolledAccepts Medicare Assignment
90.13/100
CMS Quality Rating
2231 BUTLER ST, DALLAS, TX 75235(214) 590-0409(214) 590-0413 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 23, 2024, May 15, 2018 (2 updates tracked since 2018).

About Enobong C. Udo A-gnp NPPES

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

ENOBONG C. UDO A-GNP (NPI 1124518253) is an individual nurse practitioner in Dallas, Texas, licensed in Texas (AP137519) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1124518253
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameENOBONG C. UDOCredential: A-GNP
Location Address2231 BUTLER STDallas, TX 75235-7826
Mailing Address2231 Butler StDallas, TX 75235-7826 · (214) 590-0409 · Fax (214) 590-0413
Phone(214) 590-0409
Fax(214) 590-0413
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 15, 2018
Last NPPES UpdateAugust 23, 20242 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
✔ NPI 1124518253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP137519
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP137519 (TX)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP137519 (TX)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP137519 (TX)
2231 BUTLER ST, Dallas, TX 75235
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Enobong C. Udo A-gnp 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 ID3072862242
PECOS Enrollment IDI20180821002634
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Enobong Udo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dallas County Hospital District
Same address
Geriatric Medicine
2231 BUTLER ST STE 150
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 808 clinicians in this Medicare group
NPI 1649214313 (214) 590-8369
Solar Health, P.A.
7.1 mi
Interventional Pain Medicine
10 MEDICAL PKWY STE 106
Farmers Branch, TX 75234
  • Reassigned Medicare billing, Texas enrollment
  • 53 clinicians in this Medicare group
NPI 1376724948 (972) 636-5727
Odette Louise Campbell MD PA
14 mi
Family Medicine
5072 W PLANO PKWY STE 220
Plano, TX 75093
  • Reassigned Medicare billing, Texas enrollment
  • 40 clinicians in this Medicare group
NPI 1366750325 (469) 671-0900
Pyramid Pain And Rehab P.A.
61 mi
Pain Medicine
1001 SARA SWAMY DR., STE 220
Sherman, TX 75090
  • Reassigned Medicare billing, Texas enrollment
  • 10 clinicians in this Medicare group
NPI 1063655124 (903) 892-1999

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
115 services74 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
68 services27 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
61 services36 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
55 services27 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
49 services40 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
44 services24 patients

Hospital Affiliations CMS Care Compare

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

Parkland Health & Hospital System

Acute Care Hospitals · Dallas, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450015
Location5200 Harry Hines BlvdDallas, TX 75235 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.11
Promoting Interoperability88
Improvement Activities40
Cost63.49

Other Providers at the Same Location NPPES 3

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

KARA DAVIS RD, CSG, LD
Dietitian, Registered
2231 BUTLER ST
DALLAS, TX 75235
Dallas County (214) 590-5224
SHELLEY BINGHAM PHARMD
Pharmacist (Ambulatory Care)
2231 BUTLER ST
DALLAS, TX 75235
Dallas County (214) 590-4593
HANINE ELIAS EL HADDAD M.D.
Internal Medicine (Infectious Disease)
2231 BUTLER ST
DALLAS, TX 75235
Dallas County (214) 590-5632

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 Enobong Udo's NPI number?

The NPI number for Enobong Udo is 1124518253. It was assigned to this individual provider in the NPPES registry on May 15, 2018.

Where is Enobong Udo located?

Enobong Udo practices at 2231 Butler St, Dallas, TX 75235. The listed phone number is (214) 590-0409.

What is Enobong Udo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Enobong Udo enrolled in Medicare?

Yes. Enobong 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.

Which organizations bill Medicare for Enobong Udo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Enobong Udo reassigns Medicare benefits to 4 organizations: Dallas County Hospital District (Dallas, TX), Solar Health, P.A. (Farmers Branch, TX), Odette Louise Campbell MD PA (Plano, TX) and Pyramid Pain And Rehab P.A. (Sherman, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Enobong Udo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Enobong Udo accept?

Health plans from Blue Cross and Blue Shield of Texas list Enobong Udo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Enobong Udo affiliated with any hospitals?

According to CMS data, Enobong Udo is affiliated with Parkland Health & Hospital System.

When was this NPI record last updated?

The NPPES record for Enobong Udo was last updated on August 23, 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.