P Praxis·MD
● Active Type 1 · Individual

DR. Smart O Idemudia, M.D., PHD

Internal Medicine·Lewisville, TX· NPI 1154364974 · Enumerated 2006 · 19 years on NPI
Idemudia is 1 of 34 internal medicine providers in Lewisville and 1 of 12343 in Texas.
NPI age
19 years
Enumerated 2006-06-13
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-03-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 12343 active internal medicine providers in Texas.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
1
In the 33% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
200 W. Southwest Pkwy
Lewisville, TX 75067
📞 9724206777fax 9724200656
Mailing address
Po Box 292128
Lewisville, TX 750292128
📞 9724206777fax 9724200656

Specialties

  • Internal Medicine Primary
    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,...
    TX license #J91000 taxonomy 207R00000X
  • Family Medicine
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    TX license #J91000 taxonomy 207Q00000X

Identifiers

TypeValueNotes
01 (TX) 0078DM BLUE CROSS / BLUE SHIELD
01 (TX) F46614 COMMERCIAL

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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