DR. NKECHINYERE UDENYI (MD) – Family Medicine Physician, NPI 1073684783
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,706 FAMILY PRACTICE in TX
Provider Addresses for DR. NKECHINYERE UDENYI (MD)
856 J CLYDE MORRIS BLVD STE A
NEWPORT NEWS, VA 236011318
Phone: (757) 316-5800
Fax: (757) 534-5190
Type: Mailing
500 E WHITESTONE BLVD UNIT 3693
CEDAR PARK, TX 786304450
Phone: (510) 334-4171
Fax: (859) 757-0312
Type: Mailing
3240 E WHITESTONE BLVD UNIT 48
CEDAR PARK, TX 786131910
Phone: (510) 334-4171
Fax: (859) 757-0312
Type: Location
1020, Old Denbigh Boulevard, Windsor Great Park, Newport News, Newport News City, Virginia, 23602, United States
NEWPORT NEWS, VA 23602
Phone: (757) 875-2009
Fax: (757) 369-1042
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-08-11
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 |
|---|---|---|---|---|
| I20220811002495 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23601)
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