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PROVIDENCE UWIMANA MD
NPI 1164868204
Family Medicine in Dallas, TX

Active since May 15, 2013PECOS Enrolled
5750 PINELAND DR # 150, DALLAS, TX 75231(214) 379-9343(214) 221-1437 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 24, 2022, Dec 29, 2021, Jun 9, 2020 (3 updates tracked since 2020).

About Providence Uwimana Md NPPES

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

PROVIDENCE UWIMANA MD (NPI 1164868204) is an individual family medicine provider in Dallas, Texas, licensed in Texas (S3331) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Temple.

NPPES Registry Identity

NPI1164868204
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePROVIDENCE UWIMANACredential: MD
Location Address5750 PINELAND DR # 150Dallas, TX 75231-5300
Mailing Address601 Tiffany TrlRichardson, TX 75081-5619
Phone(214) 379-9343
Fax(214) 221-1437
Sole ProprietorNo
Enumeration DateMay 15, 2013
Last NPPES UpdateMay 24, 20223 updates tracked since enumeration
NPPES CertifiedMay 24, 2022
✔ NPI 1164868204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · S3331✔ Licensed in TX · BP10047347
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5750 PINELAND DR # 150, Dallas, TX 75231
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Secondary Practice Location 1

Location 12401 S 31st StTemple, TX 76508-0001 · Phone (254) 771-8493

Other Identifiers 1

OtherBP10047347TX · Texas Medical Board

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Uwimana Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Providence Uwimana reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Health Physicians, PLLC
34 mi
Urgent Care
2310 W UNIVERSITY DR
Denton, TX 76201
  • Reassigned Medicare billing, Texas enrollment
  • 228 clinicians in this Medicare group
NPI 1770048704 (940) 220-5901

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75231 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.

Other Providers at the Same Location NPPES 2

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

WHITNEY LEIGH PARKS D.O.
Family Medicine
5750 PINELAND DR # 150
DALLAS, TX 75231
Dallas County (214) 379-4393
HEALING HANDS MINISTRIES INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
5750 PINELAND DR # 150
DALLAS, TX 75231
Dallas County (214) 379-4393

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 Providence Uwimana's NPI number?

The NPI number for Providence Uwimana is 1164868204. It was assigned to this individual provider in the NPPES registry on May 15, 2013.

Where is Providence Uwimana located?

Providence Uwimana practices at 5750 Pineland Dr # 150, Dallas, TX 75231. The listed phone number is (214) 379-9343.

What is Providence Uwimana's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Providence Uwimana enrolled in Medicare?

Yes. Providence Uwimana is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Providence Uwimana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Providence Uwimana reassigns Medicare benefits to Primary Health Physicians, PLLC (Denton, TX). The 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 Providence Uwimana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Providence Uwimana was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.