Organization Active NPI

U.S.Walgama MD PA

  • Internal Medicine Physician
  • Henderson, TX
National Provider Identifier
1558652180
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F0066 Issued in TX
Legal business name
U.S.WALGAMA MD PA
Practice address
321 Wilson St
Henderson, TX 75652-5957
Phone
(903) 658-4349
NPI assigned
Apr 30, 2011
Last updated
Oct 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Upali S Walgama, MD
Title
President
Phone
(903) 658-4349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X F0066 TX Primary

Addresses

Primary practice location

321 Wilson St
Henderson, TX 75652-5957

Mailing address

321 Wilson St
Henderson, TX 75652-5957
Phone (903) 658-4349

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1304121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1558652180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 WILSON ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756525957",
            "telephone_number": "903-658-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 WILSON ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756525957",
            "telephone_number": "903-658-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S.WALGAMA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-30",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "WALGAMA",
        "authorized_official_first_name": "UPALI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-658-4349",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F0066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.