Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Smart O Idemudia, MD, PHD

Individual provider Family Medicine Physician · NPI 1154364974

Dr. Smart O Idemudia, MD, PHD is an Internal Medicine in Lewisville, Texas. Graduated from University of Texas Medical Branch at Galveston in 1991, 35 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
35
Trained at
University of Texas Medical Branch at Galveston
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

200 W Southwest Pkwy
Lewisville, TX 75067
Phone: (972) 420-6777
Fax: (972) 420-0656
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence J91000 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence J91000 (TX)

Record details

NPI number1154364974
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorYes
NPI enumeratedJune 13, 2006
Last updated in NPPESMarch 5, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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