DR. SANJIV UPADHYAY (M.D.) – Otolaryngology Physician, NPI 1215987961
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
488 OTOLARYNGOLOGY in IL
Provider Addresses for DR. SANJIV UPADHYAY (M.D.)
2040 OGDEN AVE STE 301
AURORA, IL 605047205
Phone: (630) 978-6895
Fax: (630) 375-2905
Type: Mailing
2040 OGDEN AVE STE 401
AURORA, IL 605047208
Phone: (630) 978-6895
Fax: (630) 375-2905
Type: Mailing
Ogden Avenue, Aurora, Kane County, Illinois, 60503, United States
SUITE 301
AURORA, IL 605047222
Phone: (630) 978-6895
Fax: (630) 753-2905
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $58.
Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.
Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($42).
Total Amount
$58
General + Research + Ownership
Payments
3
Total payment records
General Amount
$58
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $42 |
| Smith+Nephew, Inc. | $16 |
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: 2004-11-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041120000088 | I | Otolaryngology | IL | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 298 | 193 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 177 | 177 | $0 |
| 69210 | Removal of impacted ear wax | 141 | 108 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 52 | 50 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 43 | 33 | $0 |
Insurance plans in this area (ZIP 60504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | IL | |
| Nurse Practitioner | IL | |
| O T O L A R Y N G O L O G Y | IL | |
| Family Practice | IL | |
| Family Practice | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IL | |
| Family Practice | IL | |
| Family Practice | IL | |
| Radiation Oncology | IL | |
| N E U R O L O G Y | IL |
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