Organization Active NPI

Alliance Endocrinology PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Grapevine, TX
National Provider Identifier
1760026959
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ALLIANCE ENDOCRINOLOGY PC
Practice address
2020 W State Highway 114 Ste 220
Grapevine, TX 76051-8648
Phone
(610) 730-7476
NPI assigned
Oct 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Authorized official

Name
Sesha Spandana Uppalapati, MDNPI 1154509230
Title
Sole Member
Phone
(610) 730-7476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

2020 W State Highway 114 Ste 220
Grapevine, TX 76051-8648

Mailing address

2020 W State Highway 114 Ste 220
Grapevine, TX 76051-8648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200110000927 TX Part B Supplier - Clinic/Group Practice 3678908100 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

4901 Golden Triangle Blvd
Ste 121
Fort Worth, TX 76244
Phone (817) 310-8881

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1760026959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W STATE HIGHWAY 114 STE 220",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W STATE HIGHWAY 114 STE 220",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518648",
            "telephone_number": "610-730-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE ENDOCRINOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "UPPALAPATI",
        "authorized_official_first_name": "SESHA",
        "authorized_official_middle_name": "SPANDANA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "610-730-7476",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.