Organization Active NPI

Upper Valley Interventional Radiology

  • Diagnostic Radiology Physician
  • McAllen, TX
National Provider Identifier
1962614099
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G9769 Issued in TX
Legal business name
UPPER VALLEY INTERVENTIONAL RADIOLOGY
Practice address
905 E. Esperanza
McAllen, TX 78501
Phone
(956) 631-0124
Fax
(956) 631-1203
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Dr. William Martin, M.D.NPI 1861571929
Title
Radiologist
Phone
(956) 631-0124

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
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X G9769 TX Primary

Addresses

Primary practice location

905 E. Esperanza
McAllen, TX 78501

Mailing address

905 E. Esperanza
McAllen, TX 78501
Phone (956) 631-0124

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302000389 TX Part B Supplier - Clinic/Group Practice 6608763990 Receives reassigned benefits from 1 practitioner
Practice locations: McAllen, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2006333Upper Valley Interventional Radiology PA905 E Esperanza Ave, McAllen, TX 78501Certificate of waiverApr 18, 2028

National Provider Directory

National Provider Directory

Locations

905 E Esperanza Ave
McAllen, TX 78501
Phone (956) 451-0661

Practitioners & affiliated clinicians

Practitioners 4

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1962614099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 E. ESPERANZA",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78501",
            "telephone_number": "956-631-0124",
            "fax_number": "956-631-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E. ESPERANZA",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78501",
            "telephone_number": "956-631-0124",
            "fax_number": "956-631-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER VALLEY INTERVENTIONAL RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "956-631-0124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "G9769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.