Individual provider Active NPI

Uma B.R.K Pakkivenkata, M.D.

  • Nephrology Physician
  • Dallas, TX
National Provider Identifier
1003003609
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N3969 Issued in TX
Practice address
9900 N Central Expy Ste 215
Dallas, TX 75231-0929
Phone
(214) 396-4950
Fax
(877) 423-5360
NPI assigned
Sep 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N3969 TX
Internal Medicine Physician 207R00000X 0101249410 VA
Nephrology Physician 207RN0300X N3969 TX Primary

Addresses

Primary practice location

9900 N Central Expy Ste 215
Dallas, TX 75231-0929

Mailing address

9900 N Central Expy Ste 215
Dallas, TX 75231-0929
Phone (214) 396-4950

Other identifiers 1

IdentifierTypeStateIssuer
3127078MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120906000614 TX Practitioner - NephrologyPractitioner - Internal Medicine 2668640285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Straightline Medical ConsultantsGroup PAC ID 3577752658, 8 clinicians

Practice addresses (Care Compare)

9900 N Central Expy
Suite 215
Dallas, TX 75231-0929
Phone (214) 396-4950

Hospital & facility affiliations

  • USRC Sunnyvale Dialysis Dialysis facility, Sunnyvale, TX, CCN 742501
  • FMC Dialysis Services Terrell Dialysis facility, Terrell, TX, CCN 452793
  • Metro East Dialysis Center Dialysis facility, Mesquite, TX, CCN 452685
  • Baylor Scott and White Medical Center Sunnyvale Hospital, Sunnyvale, TX, CCN 670060
  • Dallas Regional Medical Center Hospital, Mesquite, TX, CCN 450688
  • Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742
  • Methodist Richardson Medical Center Hospital, Richardson, TX, CCN 450537
  • Texas Health Presbyterian Hospital Kaufman Hospital, Kaufman, TX, CCN 450292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N3969TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Straightline Medical Consultants Internal Medicine CurrentSince Sep 1, 2012 Accepting new patients
Lynchburg Nephrology Physicians PLLC Past Accepting new patients
Usrc Sunnyvale, LLC PastSince Sep 15, 2015 Accepting new patients

Locations

9900 N Central Expy
Ste 215
Dallas, TX 75231
Phone (214) 355-2600

1600 Coit Rd
Ste 209
Plano, TX 75075
Phone (214) 396-4950

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BHEBCA
  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/R4/
  • FHIR API: https://api.platform.athenahealth.com/1504/brand/5/csg/87/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BHEBCA/Endpoint/BHEBCA
  • FHIR API: https://fhir-myrecord.cerner.com/r4/2ae7d625-833b-4a4d-a216-8fc7be3f9894/
  • FHIR API: https://phsfhir.primehealthcare.com/PHS-PRD-FHIR/api/FHIR/R4
  • Direct secure messaging: dmcupakki@yourcarecommunity.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1003003609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 N CENTRAL EXPY STE 215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310929",
            "telephone_number": "214-396-4950",
            "fax_number": "877-423-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 N CENTRAL EXPY STE 215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310929",
            "telephone_number": "214-396-4950",
            "fax_number": "877-423-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAKKIVENKATA",
        "first_name": "UMA",
        "middle_name": "B.R.K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-27",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N3969",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101249410",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N3969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3127078",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.