Individual provider Active NPI

Neena K Uppal, MD

  • Family Medicine Physician
  • Surprise, AZ
National Provider Identifier
1124133020
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25660 Issued in AZ
Practice address
14674 W Mountain View Blvd # 200
Surprise, AZ 85374
Phone
(623) 544-6860
Fax
(623) 544-6861
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25660 AZ Primary

Addresses

Primary practice location

14674 W Mountain View Blvd # 200
Surprise, AZ 85374

Mailing address

14674 W Mountain View Blvd # 200
Surprise, AZ 85374-2705
Phone (623) 544-6860

Other identifiers 1

IdentifierTypeStateIssuer
423533MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051103000340 AZ Practitioner - Family Practice 5799703203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neena K Uppal MD PCGroup PAC ID 6406111947, 6 clinicians

Practice addresses (Care Compare)

14674 W Mountain View Blvd
Surprise, AZ 85374-2706

14674 W Mountain View Blvd
Suite 200
Surprise, AZ 85374-2708
Phone 6235446860117

Hospital & facility affiliations

  • Billet Home Health Inc- Peoria Home health agency, Peoria, AZ, CCN 037437
  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
  • Hospice of the West Hospice, Phoenix, AZ, CCN 031592
  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions64

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neena K Uppal MD PC Family Medicine CurrentSince Jun 1, 2018 Accepting new patients
Sun City West Medical Associates LLC CurrentSince Feb 20, 2006 Accepting new patients
Sun City West Medical Associates Current Accepting new patients
Sun Health Corporation Past Accepting new patients
Surprise Medical Consultants LLC Family Medicine Past Accepting new patients
Amardeep S Majhail MD PC Geriatric Medicine Past Accepting new patients

Locations

14674 W Mountain View Blvd
Ste 2
Surprise, AZ 85374

14674 W Mountain View Blvd
Ste 200
Surprise, AZ 85374
Phone (602) 510-7142

Organizations & group practices 6

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 4

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1124133020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14674 W MOUNTAIN VIEW BLVD # 200",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742705",
            "telephone_number": "623-544-6860",
            "fax_number": "623-544-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14674 W MOUNTAIN VIEW BLVD # 200",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-544-6860",
            "fax_number": "623-544-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPPAL",
        "first_name": "NEENA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "25660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423533",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.