Individual provider Active NPI

Richard Wade Uptergrove, MD

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1518987494
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H2858 Issued in TX
Practice address
8020 Matlock Rd
Arlington, TX 76002-4779
Phone
(682) 222-7670
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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 H2858 TX Primary

Addresses

Primary practice location

8020 Matlock Rd
Arlington, TX 76002-4779

Mailing address

43590 FM 2481
Hico, TX 76457-3104
Phone (254) 485-9663

Other names 1

  • Dr. Wade Uptergrove Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040804000186 TX Practitioner - Emergency MedicinePractitioner - Family Practice 3274504113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Texas a & M University System, HSC, College of Medicine, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Legacy Urgent Care PAGroup PAC ID 3072679828, 157 clinicians

Practice addresses (Care Compare)

9205 Legacy Dr
Frisco, TX 75033-6750
Phone (972) 625-6020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Urgent Care, PA CurrentSince Apr 1, 2023 Accepting new patients
Premier Physicians-II, P.a. CurrentSince Apr 1, 2017 Accepting new patients
Cowboy Capital Emergency Physicians Past Accepting new patients
St. David's Carenow Urgent Care PLLC Family Medicine Past Accepting new patients
Providence Health Services of Waco Past Accepting new patients

Locations

330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777

9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020

2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277

8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277

900 Austin Ave
Ste 1001
Waco, TX 76701
Phone (254) 224-8808

9110 Jordan Ln
Ste 100
Woodway, TX 76712
Phone (254) 399-0740

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1518987494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43590 FM 2481",
            "city": "HICO",
            "state": "TX",
            "postal_code": "764573104",
            "telephone_number": "254-485-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024779",
            "telephone_number": "682-222-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPTERGROVE",
        "first_name": "RICHARD",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WADE",
            "last_name": "UPTERGROVE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.