Active NPI
Priyanka Nagasri Upadrasta, MD
- Internal Medicine Physician
- Lawton, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 45822
- Practice address
- 1112 NW St James PL
Lawton, OK 73505-1024 - Phone
- (908) 392-6476
- NPI assigned
- Apr 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 45822 | OK | Primary |
Addresses
Primary practice location
1112 NW St James PL
Lawton, OK 73505-1024
Mailing address
1112 NW St James PL
Lawton, OK 73505-1024
Phone (908) 392-6476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3401 W Gore Blvd
Lawton, OK 73505-6332
Phone (580) 510-7037
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comanche County Healthcare Corporation | Multi-Specialty | Current | Accepting new patients |
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Comanche County Hospital Authority | Multi-Specialty | Past | Accepting new patients |
Locations
3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255
3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207
3201 W Gore Blvd
Ste 201
Lawton, OK 73505
Phone (580) 357-2261
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Public Health or Welfare Agency
- Lawton, OK
- NPI 1053352690
Multi-Specialty
-
dba MMG Allergy and Asthma
- Allergy & Immunology Physician
- Lawton, OK
- NPI 1013640846
-
dba Comanche County Memorial Hospital
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
Multi-Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CCMH Ambulance Services
- Land Ambulance
- Walters, OK
- NPI 1285181610
Hospital
-
dba Comanche County Memorial Hospital
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
-
dba CCMH Ambulance Services
- Land Ambulance
- Lawton, OK
- NPI 1770525883
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1730822800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 NW ST JAMES PL",
"city": "LAWTON",
"state": "OK",
"postal_code": "735051024",
"telephone_number": "908-392-6476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 NW ST JAMES PL",
"city": "LAWTON",
"state": "OK",
"postal_code": "735051024",
"telephone_number": "908-392-6476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPADRASTA",
"first_name": "PRIYANKA",
"middle_name": "NAGASRI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-18",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "OK",
"license": "45822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
- U.S. Medical LLC (U.S. Home Medical supply)
- Lindsi Diane Ulloa
- Ultimate Fit Chiropractic PLLC
- Kayla Michelle Underwood
- University of Oklahoma Health Scien Ctr Southwest Ok Family Practice (Southwest Oklahoma Family Practice)
- US Army
- Mark Vincent Vadney, CRNA
- Lily Sky Vail
- Valir Outpatient Clinic #16 LLC
- Tara Van Drunen, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.