Organization Active NPI

Dr. Umabala Pasupala, PLLC

  • Nephrology Physician
  • Oak Ridge, NC
National Provider Identifier
1801244454
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2012-02018 Issued in NC
Legal business name
DR. UMABALA PASUPALA, PLLC
Practice address
6815 Koala Drive
Oak Ridge, NC 27310
Phone
(336) 816-7014
NPI assigned
May 24, 2016
Last updated
Apr 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Umabala Pasupala, M.D.NPI 1235460726
Title
MD
Phone
(336) 816-7014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 2012-02018 NC Primary

Addresses

Primary practice location

6815 Koala Drive
Oak Ridge, NC 27310

Mailing address

6815 Koala Drive
Oak Ridge, NC 27310
Phone (336) 816-7014

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1801244454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 KOALA DRIVE",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "27310",
            "telephone_number": "336-816-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 KOALA DRIVE",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "27310",
            "telephone_number": "336-816-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. UMABALA PASUPALA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "PASUPALA",
        "authorized_official_first_name": "UMABALA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "336-816-7014",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "2012-02018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.