Active NPI
Uptiv Health Mi PC
- Family Medicine Physician
- Bellevue, WA
National Provider Identifier
1265228647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Nurse Practitioner
- Westland, MI
- NPI 1285335265
-
- Emergency Medicine Physician
- Baton Rouge, LA
- NPI 1952288029
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
- University of Washington (University of Washington Medical Center)
- Cindy A. Unsleber, MSPT, OCS, DMT
- Christina Marshall Upchurch, LMP
- Charles Allen Upmeyer, LMP
- Ava Jane Upson
- Murray L Urquhart, MD
- Jorge Urrutia Jr.
- US Home Sleep Test PLLC (US Tele Sleep)
- USA Vascular Centers of Bellevue, PLLC
- USA Vein Clinics of Bellevue, PLLC
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.