Individual provider Active NPI

Ceisha Ukatu, M.D.

  • Otolaryngology Physician
  • Arlington, TX
National Provider Identifier
1326453465
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
R9879 Issued in TX
Practice address
400 W Arbrook Blvd Ste 301
Arlington, TX 76014-3180
Phone
(817) 261-3000
Fax
(817) 274-4292
NPI assigned
Jun 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2014021212 MO
Otolaryngology Physician 207Y00000X R9879 TX Primary
Otolaryngology Physician 207Y00000X 036.166777 IL

Addresses

Primary practice location

400 W Arbrook Blvd Ste 301
Arlington, TX 76014-3180

Mailing address

400 W Arbrook Blvd Ste 301
Arlington, TX 76014-3180
Phone (817) 261-3000

Other practice location 1

801 E Debbie Ln
Mansfield, TX 76063-3179
Phone (817) 261-3000

Other practice location 2

2021 S 14th St Ste 100
Midlothian, TX 76065-7301
Phone (817) 261-3000

Other identifiers 2

IdentifierTypeStateIssuer
813017OtherTXMEDICARE
399828801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190618000937 TX Practitioner - Otolaryngology 6507081536 Reassigns benefits to 1 organization
I20230914002978 IL Practitioner - Otolaryngology 6507081536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Emory University School of Medicine, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Cross Timbers ENT, PLLCGroup PAC ID 9234291840, 14 clinicians

Practice addresses (Care Compare)

2021 S 14TH St
Suite 100
Midlothian, TX 76065-7301
Phone (817) 261-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014021212MOMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siu Physicians & Surgeons, Inc CurrentSince Oct 16, 2023 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Oct 16, 2023 Accepting new patients
Cross Timbers ENT PLLC CurrentSince Jun 3, 2024 Accepting new patients

Locations

201 E Madison St
Ste 328
Springfield, IL 62702

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

720 N Bond St
Springfield, IL 62702
Phone (217) 545-4777

400 W Arbrook Blvd
Ste 301
Arlington, TX 76014
Phone (817) 261-3000

801 E Debbie Ln
Mansfield, TX 76063
Phone (817) 261-3000

2021 S 14th St
Ste 100
Midlothian, TX 76065
Phone (817) 261-3000

Interoperability endpoints

  • Direct secure messaging: cukatu@crosstent.emadirect.md

Organizations & group practices 3

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 2

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": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1326453465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD STE 301",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143180",
            "telephone_number": "817-261-3000",
            "fax_number": "817-274-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD STE 301",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143180",
            "telephone_number": "817-261-3000",
            "fax_number": "817-274-4292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E Debbie Ln",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760633179",
            "country_code": "US",
            "telephone_number": "817-261-3000",
            "fax_number": "817-274-4292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2021 S 14th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "TX",
            "postal_code": "760657301",
            "country_code": "US",
            "telephone_number": "817-261-3000",
            "fax_number": "817-274-4292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UKATU",
        "first_name": "CEISHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2014021212",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "R9879",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036.166777",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "813017",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "399828801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.