DR. USHA UDUPA (M.D.) – Child & Adolescent Psychiatry Physician, NPI 1912016718

DR. USHA UDUPA (M.D.) is a healthcare provider. based in Fort collins, Colorado. specializing in Child & Adolescent Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. 42035 (CO). The NPI Number for DR. USHA UDUPA (M.D.) is 1912016718

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. USHA UDUPA (M.D.)
NPI
1912016718
Phone
(970) 900-5835
Address
3800 AUTOMATION WAY, SUITE 102
Enumeration Date
29 August 2006
Last Update Date
26 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9702074800
Graduation Year
1994 (32 years ago)
PAC ID
7214927698
Group Practice PAC ID
7618880709
Professional Enrollment ID
I20040517000977
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. USHA UDUPA (M.D.)

  • 3800 AUTOMATION WAY, SUITE 102

    FORT COLLINS, CO 80525

    Phone: (970) 900-5835

    Fax: (970) 387-7330

    Type: Location

  • 4601, Corbett Drive, Fort Collins, Larimer County, Colorado, 80528, United States

    FORT COLLINS, CO 805289579

    Phone: (970) 207-4800

    Fax: (970) 207-4805

    Type: Mailing

  • 2260 W Trilby Rd

    Fort Collins, CO 805269650

    Phone: (970) 494-4200

    Fax: (844) 270-1824

    Type: Location

  • IMAGINE BY NORTHPOINT FORT COLLINS

    3800 AUTOMATION WAY, SUITE 102

    FORT COLLINS, CO 80525

    Phone: (970) 900-5835

    Fax: (970) 387-7330

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $135.

Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.

Last reported payment date: 2024-07-08 • Largest payer in this snapshot: Corium, LLC ($107).

Total Amount

$135

General + Research + Ownership

Payments

9

Total payment records

General Amount

$135

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040517000977IPsychiatryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80525)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618880709View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. USHA UDUPA (M.D.) in the U.S.?
In the U.S., DR. USHA UDUPA (M.D.) is identified by NPI 1912016718.
Does the public listing show DR. USHA UDUPA (M.D.) as active?
DR. USHA UDUPA (M.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. USHA UDUPA (M.D.)'s specialty?
The extract shows Child & Adolescent Psychiatry Physician for DR. USHA UDUPA (M.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. USHA UDUPA (M.D.)?
DR. USHA UDUPA (M.D.) shows a connection to Fort Collins, Colorado in registry-derived data.
Can I export DR. USHA UDUPA (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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