NPIMap

Individual provider Active NPI

Baljeet S Uppal, MD

  • Vascular Surgery Physician
  • Sun City, AZ
National Provider Identifier
1689898165
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
49616 Issued in AZ
Practice address
15405 N 99TH Ave Ste B
Sun City, AZ 85351
Phone
(888) 553-8346
Fax
(623) 404-4530
NPI assigned
Apr 13, 2007
Last updated
Oct 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 49616 AZ Primary

Addresses

Primary practice location

15405 N 99TH Ave Ste B
Sun City, AZ 85351

Mailing address

9744 W Bell Rd Ste a
Sun City, AZ 85351-1343
Phone (888) 553-8346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140822000790 AZ Practitioner - Vascular Surgery 3577657477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Vein and Vascular Center PLLCGroup PAC ID 8628338852, 2 clinicians

Practice addresses (Care Compare)

3615 S Rome St
Gilbert, AZ 85297-7335
Phone (888) 553-8346

9321 W Thomas Rd
Suite 300
Phoenix, AZ 85037-3395
Phone (888) 553-8346

9744 W Bell Rd
Suite a
Sun City, AZ 85351-1343
Phone (888) 553-8346

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal565
Leg revascularization (restoring blood flow)239
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Vein and Vascular Center PLLC Vascular Surgery CurrentSince Mar 5, 2018 Accepting new patients
Kumar Ravi MD Facc PC Vascular Surgery PastSince Oct 23, 2025 Accepting new patients
Lpwallmd PC Vascular Surgery PastSince Dec 15, 2024 Accepting new patients
Kumar Ravi MD Facc PC Past Accepting new patients

Locations

10825 W McDowell Rd
Ste 100
Avondale, AZ 85392
Phone (602) 609-4314

3615 S Rome St
Gilbert, AZ 85297
Phone (480) 245-4425

9321 W Thomas Rd
Ste 300
Phoenix, AZ 85037
Phone (480) 744-6234

15405 N 99th Ave
Sun City, AZ 85351
Phone (623) 254-7375

15405 N 99th Ave
Ste B
Sun City, AZ 85351
Phone (623) 254-7375

9744 W Bell Rd
Ste A
Sun City, AZ 85351
Phone (885) 538-3468

12361 W Bola Dr
Ste 100
Surprise, AZ 85378
Phone (602) 698-7325

Interoperability endpoints

  • Direct secure messaging: baljeet.uppal.p130@direct.aac.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1689898165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9744 W BELL RD STE A",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511343",
            "telephone_number": "888-553-8346",
            "fax_number": "623-404-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15405 N 99TH AVE STE B",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "85351",
            "telephone_number": "888-553-8346",
            "fax_number": "623-404-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPPAL",
        "first_name": "BALJEET",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "49616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.