NPIMap

Individual provider Active NPI

Phanibindu Uppala, MD

  • Internal Medicine Physician
  • Milan, MI
National Provider Identifier
1710142732
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301095128 Issued in MI
Practice address
870 E Arkona Rd Ste 100
Milan, MI 48160-9770
Phone
(734) 439-2429
NPI assigned
Jul 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301095128 MI Primary

Addresses

Primary practice location

870 E Arkona Rd Ste 100
Milan, MI 48160-9770

Mailing address

24 Frank Lloyd Wright Dr.
PO Box 0446 Lobby J
Ann Arbor, MI 48106
Phone (734) 747-6766

Other practice location 1

5301 E Huron river drive
IHA hospitalists
ann arbor, MI 48106
Phone (347) 607-8017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230127001671 TX Practitioner - Internal Medicine 9032381611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

2005 W Park Dr
300 Baylor Scott and White Internal Medicine
Irving, TX 75061-2034
Phone (469) 800-1050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301095128MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Internal Medicine CurrentSince Jan 30, 2023 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 30, 2023 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

2005 W Park Dr
Ste 300
Irving, TX 75061
Phone (469) 800-1050

Interoperability endpoints

  • Direct secure messaging: puppala1141643@direct.sw.org

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 8

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1710142732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR.",
            "address_2": "PO BOX 0446 LOBBY J",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48106",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 E ARKONA RD STE 100",
            "city": "MILAN",
            "state": "MI",
            "postal_code": "481609770",
            "telephone_number": "734-439-2429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 E Huron river drive",
            "address_2": "IHA hospitalists",
            "address_purpose": "LOCATION",
            "city": "ann arbor",
            "state": "MI",
            "postal_code": "48106",
            "country_code": "US",
            "telephone_number": "347-607-8017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPPALA",
        "first_name": "PHANIBINDU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301095128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, MI

Sources for this page

Verify at the official NPI Registry.