DR. NOSAKHARE IDEMUDIA MD
NPI 1841964939
Internal Medicine in Hudson, FL

Q: What is Nosakhare Idemudia's NPI number?

The NPI number for Nosakhare Idemudia is 1841964939. It was assigned to this individual provider in the NPPES registry on August 3, 2021. The provider is also known as Dr. Nosa Idemudia MD.

Q: What is Nosakhare Idemudia's specialty?

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

Active since August 03, 2021PECOS EnrolledAccepts Medicare Assignment

14000 FIVAY RD, HUDSON, FL 34667(727) 819-2966(727) 819-2928 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Nosakhare Idemudia Md NPPES

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

DR. NOSAKHARE IDEMUDIA MD (NPI 1841964939) is an individual internal medicine provider in Hudson, Florida, licensed in Texas (W0610) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, is affiliated with Round Rock Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1841964939

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. NOSAKHARE IDEMUDIACredential: MD

Location Address14000 FIVAY RDHudson, FL 34667-7103

Mailing Address3700 Kentmere CtFlower Mound, TX 75022-8464 · (214) 695-4212

Phone(727) 819-2966

Fax(727) 819-2928

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 3, 2021

Last NPPES UpdateSeptember 22, 2025

NPPES CertifiedSeptember 22, 2025

✔ NPI 1841964939 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 · W0610

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

14000 FIVAY RD, Hudson, FL 34667

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Other Names 1

Other Name (5)Dr. Nosa Idemudia Md

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

Dr. Nosakhare Idemudia Md 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 ID4284131913

PECOS Enrollment IDI20251008004126

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

Medicare enrollment records show Nosakhare Idemudia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lonestar Pat Associates PA

917 mi

Hospitalist

2400 ROUND ROCK AVE
Round Rock, TX 78681

Reassigned Medicare billing, Texas enrollment
206 clinicians in this Medicare group

NPI 1811594203 (512) 341-1000

Ipc Healthcare Services Of Texas, PLLC

960 mi

Hospitalist

7330 SAN PEDRO AVE, STE 540
San Antonio, TX 78216

Reassigned Medicare billing, Texas enrollment
688 clinicians in this Medicare group

NPI 1023403011 (210) 344-7287

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

Hospital Affiliations CMS Care Compare

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

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450718

Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34667 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

OSCAR VINCENT LOPEZ P.T.

Physical Therapist