Individual provider Active NPI

Sikarin Upala, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Union Gap, WA
National Provider Identifier
1013334556
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD61312723 Issued in WA
Practice address
Astria Health Center
1420 Ahtanum Ridge Dr.
Union Gap, WA 98903-9183
Phone
(509) 454-7700
NPI assigned
Mar 22, 2014
Last updated
Apr 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036142546 IL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD61312723 WA Primary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X MD61312723 WA

Addresses

Primary practice location

Astria Health Center
1420 Ahtanum Ridge Dr.
Union Gap, WA 98903-9183

Mailing address

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-7656

Other practice location 1

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 501-3601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20221202001344 WA Practitioner - Endocrinology 8527283779 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SHC Medical Center ToppenishGroup PAC ID 4082980065, 43 clinicians

Practice addresses (Care Compare)

1013 E Edison Ave
Sunnyside, WA 98944
Phone (509) 837-1837

1420 Ahtanum Ridge Dr
Union Gap, WA 98903-1839
Phone (509) 454-7700

1812 E Edison Ave
Sunnyside, WA 98944
Phone (509) 712-3295

502 W 4TH Ave
Toppenish, WA 98948-1616
Phone (509) 865-3105

516 W 4TH Ave
Toppenish, WA 98948-1616
Phone (509) 865-2500

PO Box
Sunnyside, WA 98944

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036142546ILMDEndocrinology, Diabetes & Metabolism Physician
MD61312723WAMDObesity Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Community Hospital Association CurrentSince Jan 1, 2023 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Jan 1, 2023 Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients
SHC Medical Center Toppenish CurrentSince Jan 1, 2020 Accepting new patients
SHC Medical Center Toppenish Current Accepting new patients
National Healthcare of Mt Vernon Inc Past Accepting new patients
Sunnyside Community Hospital Association Past Accepting new patients

Locations

355 Chardonnay Ave
Prosser, WA 99350
Phone (509) 781-6366

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

500 S 11th St
Sunnyside, WA 98944
Phone (509) 837-1722

803 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 837-3933

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

1420 Ahtanum Ridge Dr
Union Gap, WA 98903
Phone (509) 454-7700

3907 Creekside Loop
Ste 130
Yakima, WA 98902
Phone (509) 225-4555

915 Vintage Valley Pkwy
Ste 200
Zillah, WA 98953
Phone (509) 314-6565

Interoperability endpoints

  • Direct secure messaging: supala@yourcarecommunity.org

Organizations & group practices 7

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

Hospital & facility affiliations 5

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": "1395446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1013334556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 DELAWARE ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322367",
            "telephone_number": "360-414-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ASTRIA HEALTH CENTER",
            "address_2": "1420 AHTANUM RIDGE DR.",
            "city": "UNION GAP",
            "state": "WA",
            "postal_code": "989039183",
            "telephone_number": "509-454-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-501-3601",
            "fax_number": "360-501-3648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPALA",
        "first_name": "SIKARIN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-22",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036142546",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WA",
            "license": "MD61312723",
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "WA",
            "license": "MD61312723",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union Gap, WA

Sources for this page

Verify at the official NPI Registry.