1. Home
  2. Directory
  3. Washington
  4. Union Gap
  5. Internal Medicine
  6. NPI Profile

MR. SIKARIN UPALA M.D.
NPI 1013334556
Internal Medicine - Endocrinology, Diabetes & Metabolism in Union Gap, WA

Active since March 22, 2014PECOS EnrolledAccepts Medicare Assignment
ASTRIA HEALTH CENTER, 1420 AHTANUM RIDGE DR., UNION GAP, WA 98903(509) 454-7700 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2024, Mar 24, 2023, Sep 23, 2022 and 3 more (6 updates tracked since 2017).

About Mr. Sikarin Upala M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SIKARIN UPALA M.D. (NPI 1013334556) is an individual endocrinology, diabetes & metabolism provider in Union Gap, Washington, licensed in Washington (MD61312723) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Yakima Valley Memorial, and maintains a secondary practice location in Longview.

NPPES Registry Identity

NPI1013334556
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameMR. SIKARIN UPALACredential: M.D.
Location AddressASTRIA HEALTH CENTER, 1420 AHTANUM RIDGE DR.Union Gap, WA 98903-9183
Mailing Address1615 Delaware StLongview, WA 98632-2367 · (360) 414-7656
Phone(509) 454-7700
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 22, 2014
Last NPPES UpdateApril 4, 20246 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
✔ NPI 1013334556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in WA · MD61312723✔ Licensed in IL · 036142546
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X · License MD61312723 (WA)
ASTRIA HEALTH CENTER, Union Gap, WA 98903
Open in Google Maps ↗

Secondary Practice Location 1

Location 11615 Delaware StLongview, WA 98632-2367 · Phone (360) 501-3601 · Fax (360) 501-3648

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Sikarin Upala M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527283779
PECOS Enrollment IDI20190524000275, I20221202001344
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
64 services59 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
52 services44 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services27 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500036
Location2811 Tieton DriveYakima, WA 98902 · Yakima County
Emergency services Birthing friendly

Astria Toppenish Hospital

Acute Care Hospitals · Toppenish, WA
OwnershipVoluntary non-profit - Private
CMS Certification Number500037
Location502 W Fourth AveToppenish, WA 98948 · Yakima County
Emergency services

Trios Health

Acute Care Hospitals · Kennewick, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500053
Location900 South Auburn StreetKennewick, WA 99336 · Benton County
Emergency services Birthing friendly

Astria Sunnyside Hospital

Critical Access Hospitals · Sunnyside, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number501330
Location1016 Tacoma AvenueSunnyside, WA 98944 · Yakima County
Emergency services

Kittitas Valley Community Hospital

Critical Access Hospitals · Ellensburg, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501333
Location603 South ChestnutEllensburg, WA 98926 · Kittitas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers42 claims106 services$6.55 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers13 claims18 services$1.12 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
8 suppliers67 claims9,100 services$6.63 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
18 suppliers1,251 claims1,252 services$189.65 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
7 suppliers39 claims39 services$204.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sikarin Upala's NPI number?

The NPI number for Sikarin Upala is 1013334556. It was assigned to this individual provider in the NPPES registry on March 22, 2014.

Where is Sikarin Upala located?

Sikarin Upala practices at Astria Health Center 1420 Ahtanum Ridge Dr., Union Gap, WA 98903. The listed phone number is (509) 454-7700.

What is Sikarin Upala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sikarin Upala enrolled in Medicare?

Yes. Sikarin Upala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sikarin Upala accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sikarin Upala as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sikarin Upala affiliated with any hospitals?

According to CMS data, Sikarin Upala is affiliated with Yakima Valley Memorial, Astria Toppenish Hospital, Trios Health, Astria Sunnyside Hospital and Kittitas Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Sikarin Upala was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.