Individual provider Active NPI

Arvinder S Uppal, MD

  • Otolaryngology Physician
  • Greenville, MS
National Provider Identifier
1760498620
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
22658 Issued in MS
Practice address
1727 E Union St
Greenville, MS 38703-3253
Phone
(662) 537-4830
Fax
(662) 537-4532
NPI assigned
Jul 31, 2006
Last updated
Aug 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD462683 PA
Otolaryngology Physician 207Y00000X 036106991 IL
Otolaryngology Physician 207Y00000X 036106991 IN
Otolaryngology Physician 207Y00000X 22658 MS Primary

Addresses

Primary practice location

1727 E Union St
Greenville, MS 38703-3253

Mailing address

2411 Princeton St
Greenville, MS 38701-7515
Phone (662) 577-6673

Other practice location 1

116 S Elmer Ave
Sayre, PA 18840-2006
Phone (570) 887-2849

Other practice location 2

1693 S Colorado St
Greenville, MS 38703-7211
Phone (662) 344-9133

Other identifiers 1

IdentifierTypeStateIssuer
8188321MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140127001035 MS Practitioner - Otolaryngology 6204981459 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036106991ILMDOtolaryngology Physician
036106991INMDOtolaryngology Physician
22658MSMDOtolaryngology Physician
MD462683PAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Sunflower Medical Center CurrentSince Sep 9, 2019 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Oct 4, 2017 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Apr 1, 2018 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Oct 4, 2017 Accepting new patients
North Sunflower Medical Center CurrentSince Sep 9, 2019 Accepting new patients
Guthrie Medical Group, P.C. Otolaryngology CurrentSince Apr 1, 2018 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
North Sunflower Medical Center Current Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Regional Hospital Healthcare Partners LLC PastSince Jan 1, 2010 Accepting new patients
Wabash Valley Urological Assoc Inc Past Accepting new patients
Delta Physician Practices PastSince Aug 30, 2020 Accepting new patients
Delta Physician Practices Past Accepting new patients
Presence Service Corporation Otolaryngology Past Accepting new patients

Locations

840 N Oak Ave
Ruleville, MS 38771
Phone (601) 756-2711

44 S Washington Ave
Fl 2
Greensburg, PA 15601
Phone (724) 261-5556

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

116 S Elmer Ave
Sayre, PA 18840
Phone (570) 887-2849

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1760498620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 PRINCETON ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387017515",
            "telephone_number": "662-577-6673",
            "fax_number": "662-537-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 E UNION ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033253",
            "telephone_number": "662-537-4830",
            "fax_number": "662-537-4532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 S Elmer Ave",
            "address_purpose": "LOCATION",
            "city": "Sayre",
            "state": "PA",
            "postal_code": "188402006",
            "country_code": "US",
            "telephone_number": "570-887-2849",
            "fax_number": "570-887-2244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1693 S Colorado St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "MS",
            "postal_code": "387037211",
            "country_code": "US",
            "telephone_number": "662-344-9133",
            "fax_number": "662-344-9137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPPAL",
        "first_name": "ARVINDER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD462683",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036106991",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "036106991",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MS",
            "license": "22658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8188321",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

Verify at the official NPI Registry.