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DR. SMART O IDEMUDIA M.D., PHD
NPI 1154364974
Internal Medicine in Lewisville, TX

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
200 W. SOUTHWEST PKWY, LEWISVILLE, TX 75067(972) 420-6777(972) 420-0656 Get Directions Write a Review

NPPES record last updated: March 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Smart O Idemudia M.d., Phd NPPES

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

DR. SMART O IDEMUDIA M.D., PHD (NPI 1154364974) is an individual internal medicine provider in Lewisville, Texas, licensed in Texas (J91000) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Medical City Lewisville, and is a graduate of University Of Texas Medical Branch At Galveston (1991).

NPPES Registry Identity

NPI1154364974
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SMART O IDEMUDIACredential: M.D., PHD
Location Address200 W. SOUTHWEST PKWYLewisville, TX 75067
Mailing AddressPo Box 292128Lewisville, TX 75029-2128 · (972) 420-6777 · Fax (972) 420-0656
Phone(972) 420-6777
Fax(972) 420-0656
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1991
Enumeration DateJune 13, 2006
Last NPPES UpdateMarch 5, 2008
✔ NPI 1154364974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · J91000
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License J91000 (TX)
200 W. SOUTHWEST PKWY, Lewisville, TX 75067
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Other Identifiers 3

Other0078DMTX · Blue Cross / Blue Shield
Medicare PIN00187JTX
OtherF46614TX · Commercial

Accepted Insurance

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

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

Dr. Smart O Idemudia M.d., Phd 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 ID8820093230
PECOS Enrollment IDI20060918000456
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.

Areas of Expertise CMS Part B claims 2

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.
209 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
110 services37 patients

Hospital Affiliations CMS Care Compare

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

Medical City Lewisville

Acute Care Hospitals · Lewisville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450669
Location500 West Main StreetLewisville, TX 75057 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75067 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

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

GRACE MEDICAL ASSOCIATION, PA
Internal Medicine
200 W. SOUTHWEST PKWY
LEWISVILLE, TX 75067
Denton County (972) 420-6777

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 Smart Idemudia's NPI number?

The NPI number for Smart Idemudia is 1154364974. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Smart Idemudia located?

Smart Idemudia practices at 200 W. Southwest Pkwy, Lewisville, TX 75067. The listed phone number is (972) 420-6777.

What is Smart Idemudia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Smart Idemudia enrolled in Medicare?

Yes. Smart Idemudia 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.

What insurance does Smart Idemudia accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Smart Idemudia 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 Smart Idemudia affiliated with any hospitals?

According to CMS data, Smart Idemudia is affiliated with Medical City Lewisville.

When was this NPI record last updated?

The NPPES record for Smart Idemudia was last updated on March 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.