NPIMap

Organization Active NPI

Upper Valley Interventional Nephrology, PLLC

  • Nephrology Physician
  • Mission, TX
National Provider Identifier
1184382848
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
UPPER VALLEY INTERVENTIONAL NEPHROLOGY, PLLC
Practice address
1203 St Claire Blvd Unit 13B
Mission, TX 78572-8465
Phone
(956) 600-8899
Fax
(956) 600-7511
NPI assigned
Nov 30, 2021
Last updated
Dec 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Benjamin LeeNPI 1871784967
Title
Owner
Phone
(956) 600-8899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

1203 St Claire Blvd Unit 13B
Mission, TX 78572-8465

Mailing address

1203 St Claire Blvd Unit 13B
Mission, TX 78572-8465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220503000636 TX Part B Supplier - Clinic/Group Practice 7517354921 Receives reassigned benefits from 13 practitioners
Practice locations: Corpus Christi, TX; Kingsville, TX; McAllen, TX; Mission, TX; Sinton, TX; Alice, TX; Beeville, TX; Brownsville, TX

National Provider Directory

National Provider Directory

Locations

2345 Alice Regional Blvd
Alice, TX 78332
Phone (361) 664-1723

13434 Leopard St
Ste A17
Corpus Christi, TX 78410
Phone (361) 241-4873

4112 S Staples St
Ste A
Corpus Christi, TX 78411

7002 Williams Dr
Corpus Christi, TX 78412
Phone (361) 761-6800

6316 N 10th St
Ste C1
McAllen, TX 78504
Phone (956) 994-0111

6316 N 10th St
Ste C1C2
McAllen, TX 78504

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1184382848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 ST CLAIRE BLVD UNIT 13B",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785728465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 ST CLAIRE BLVD UNIT 13B",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785728465",
            "telephone_number": "956-600-8899",
            "fax_number": "956-600-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER VALLEY INTERVENTIONAL NEPHROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-600-8899"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.