DR. WINSLO K IDICULA (M.D.) – Pediatric Otolaryngology Physician, NPI 1851604573

DR. WINSLO K IDICULA (M.D.) is a healthcare provider. based in Lubbock, Texas. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 57017666 (OH). The NPI Number for DR. WINSLO K IDICULA (M.D.) is 1851604573

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. WINSLO K IDICULA (M.D.)
NPI
1851604573
Phone
(214) 680-9624
Address
4007 127TH ST
Enumeration Date
22 July 2010
Last Update Date
26 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067433150
Graduation Year
2010 (16 years ago)
PAC ID
3375771181
Group Practice PAC ID
4385549674
Professional Enrollment ID
I20160820000034
Address ID
TX794309410LU3601XSTXX300

Contacts

Secure Messaging
winslo.idicula@direct.myteamcare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:15State licenses:2Other namesUpdated within 12 months

892 OTOLARYNGOLOGY in TX

Provider Addresses for DR. WINSLO K IDICULA (M.D.)

  • 4007 127TH ST

    LUBBOCK, TX 79423

    Phone: (214) 680-9624

    Type: Mailing

  • 3601 4TH STREET STOP 9905

    LUBBOCK, TX 794303153

    Phone: (806) 743-3277

    Type: Location

  • 6092 JOLLIFF ST

    GALLOWAY, OH 431198376

    Phone: (214) 680-9624

    Type: Mailing

  • 915 OLENTANGY RIVER RD

    COLUMBUS, OH 432123153

    Phone: (614) 293-9215

    Type: Location

  • 915 Olentangy River Rd

    Columbus, OH 432123153

    Phone: (614) 293-9215

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $360.

Total Amount is formed as General ($360) + Research ($0) + Ownership ($0) = $360.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($115).

Total Amount

$360

General + Research + Ownership

Payments

6

Total payment records

General Amount

$360

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-08-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160820000034IOtolaryngologyTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79423)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385549674View full group profile
NameSpecialtyState
Interventional CardiologyPA
A N E S T H E S I O L O G YTX
-TX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Family PracticeTX
Certified Registered Nurse Anesthetist (Crna)TX
-TX
-TX

Reviews

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Frequently asked questions

Where can patients find DR. WINSLO K IDICULA (M.D.)'s NPI?
You can confirm DR. WINSLO K IDICULA (M.D.) with NPI 1851604573; it appears in the national provider directory.
Is DR. WINSLO K IDICULA (M.D.) active in the national directory?
DR. WINSLO K IDICULA (M.D.)'s public NPI profile is in an active state.
What field does DR. WINSLO K IDICULA (M.D.) work in?
You can think of DR. WINSLO K IDICULA (M.D.) as practicing within Pediatric Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Does DR. WINSLO K IDICULA (M.D.) practice in Texas?
You will see Lubbock, Texas on file for DR. WINSLO K IDICULA (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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