ABHINEET UPPAL M.D.
NPI 1841511219
Colon & Rectal Surgery in Houston, TX
About Abhineet Uppal M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABHINEET UPPAL M.D. (NPI 1841511219) is an individual colon & rectal surgery provider in Houston, Texas, licensed in Texas (S7359) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital Midtown, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Abhineet Uppal 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.
Medicare Billing Reassignments
2Medicare enrollment records show Abhineet Uppal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 2,681 clinicians in this Medicare group
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory University Hospital Midtown
Acute Care Hospitals · Atlanta, GASaint Joseph's Hospital Of Atlanta, Inc
Acute Care Hospitals · Atlanta, GAEmory Johns Creek Hospital
Acute Care Hospitals · Johns Creek, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOUSTON, TX 77030
HOUSTON, TX 77030
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 Abhineet Uppal's NPI number?
The NPI number for Abhineet Uppal is 1841511219. It was assigned to this individual provider in the NPPES registry on June 18, 2010.
Where is Abhineet Uppal located?
Abhineet Uppal practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.
What is Abhineet Uppal's specialty?
The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.
Is Abhineet Uppal enrolled in Medicare?
Yes. Abhineet Uppal 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.
Which organizations bill Medicare for Abhineet Uppal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abhineet Uppal reassigns Medicare benefits to 2 organizations: Emory Medical Care Foundation Inc (Atlanta, GA) and The Emory Clinic Inc (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abhineet Uppal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Abhineet Uppal accept?
Health plans from Blue Cross and Blue Shield of Texas list Abhineet Uppal 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 Abhineet Uppal affiliated with any hospitals?
According to CMS data, Abhineet Uppal is affiliated with Emory University Hospital Midtown, Saint Joseph's Hospital Of Atlanta, Inc and Emory Johns Creek Hospital.
When was this NPI record last updated?
The NPPES record for Abhineet Uppal was last updated on September 3, 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.