Organization Active NPI

Uptiv Health Mi PC

  • Family Medicine Physician
  • Bellevue, WA
National Provider Identifier
1265228647
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UPTIV HEALTH MI PC
Practice address
1130 140TH Ave NE Ste 300J
Bellevue, WA 98005-2974
Phone
(734) 203-0176
NPI assigned
Apr 15, 2025
Last updated
Feb 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Frankie Allen Dejesus
Title
Sr. Ops Director
Phone
(615) 430-7119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1130 140TH Ave NE Ste 300J
Bellevue, WA 98005-2974

Mailing address

5543 Edmondson Pike Ste 162
Nashville, TN 37211-5808
Phone (734) 203-0176

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250702000789 WA Part B Supplier - Clinic/Group Practice 5698140523 Receives reassigned benefits from 2 practitioners
Practice locations: Bellevue, WA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Uptiv Health Mi PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1265228647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5543 EDMONDSON PIKE STE 162",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115808",
            "telephone_number": "734-203-0176",
            "fax_number": "888-373-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 140TH AVE NE STE 300J",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052974",
            "telephone_number": "734-203-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTIV HEALTH MI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "FRANKIE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "SR. OPS DIRECTOR",
        "authorized_official_telephone_number": "615-430-7119"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.