NDUKWE KALU UDUMA (MD) – Child & Adolescent Psychiatry Physician, NPI 1689768525
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,132 PSYCHIATRY in TX
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Provider Addresses for NDUKWE KALU UDUMA (MD)
UT Health East Texas Behavioral Health Center, 4101, University Boulevard, Tyler, Smith County, Texas, 75701, United States
TYLER, TX 757016623
Phone: (903) 594-2450
Type: Mailing
11937 US HIGHWAY 271
TYLER, TX 757083154
Phone: (903) 877-7168
Fax: (903) 877-8355
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $359.
Total Amount is formed as General ($359) + Research ($0) + Ownership ($0) = $359.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: ABBVIE INC. ($77).
Total Amount
$359
General + Research + Ownership
Payments
14
Total payment records
General Amount
$359
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-10-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071015000445 | I | Psychiatry | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 13 | $0 |
Insurance plans in this area (ZIP 75701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | TX | |
| P S Y C H I A T R Y | TX | |
| Mental Health Counselor | TX | |
| Nurse Practitioner | TX | |
| P S Y C H I A T R Y | TX | |
| Nurse Practitioner | TX | |
| Mental Health Counselor | TX | |
| P S Y C H I A T R Y | TX | |
| Mental Health Counselor | TX | |
| Certified Clinical Nurse Specialist (Cns) | TX |
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