DR. AZUKA DOREEN-JANE UDOLISA
NPI 1730486077
Psychiatry & Neurology - Psychiatry in San Antonio, TX

Q: What is Azuka Udolisa's NPI number?

The NPI number for Azuka Udolisa is 1730486077. It was assigned to this individual provider in the NPPES registry on February 23, 2011.

Q: What is Azuka Udolisa's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Azuka Udolisa was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 23, 2011PECOS Enrolled

601 N FRIO ST BLDG 1, SAN ANTONIO, TX 78207(210) 261-3750(210) 444-1474 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 22, 2023, Sep 21, 2022 (2 updates tracked since 2022).

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About Dr. Azuka Doreen-jane Udolisa NPPES

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

DR. AZUKA DOREEN-JANE UDOLISA (NPI 1730486077) is an individual psychiatry provider in San Antonio, Texas, licensed in Texas (S7812) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730486077

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. AZUKA DOREEN-JANE UDOLISA

Location Address601 N FRIO ST BLDG 1San Antonio, TX 78207-3011

Mailing Address6800 Park Ten Blvd Ste 200sSan Antonio, TX 78213-4293 · (210) 261-1060 · Fax (210) 261-1821

Phone(210) 261-3750

Fax(210) 444-1474

Sole ProprietorNo

Enumeration DateFebruary 23, 2011

Last NPPES UpdateMarch 22, 20232 updates tracked since enumeration

NPPES CertifiedMarch 22, 2023

✔ NPI 1730486077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in TX · S7812

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

601 N FRIO ST BLDG 1, San Antonio, TX 78207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Community Health Choice.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Azuka Doreen-jane Udolisa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78207 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

$166.88 typical visit price

range $54.84 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

ECHO J WALBY PA-C

Physician Assistant