DR. SHIVANCK UPADHYAY (MBBS, MD) – Internal Medicine Physician, NPI 1376815647
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,893 INTERNAL MEDICINE in NJ
Provider Addresses for DR. SHIVANCK UPADHYAY (MBBS, MD)
703 MAIN ST
MEDICINE DEPARTMENT
PATERSON, NJ 075032621
Phone:
Type: Mailing
618 Hospital Rd
Tappahannock, VA 225605000
Phone: (804) 828-4635
Fax: (804) 443-6150
Type: Location
130 2nd St
Neenah, WI 549562883
Phone: (920) 731-4101
Type: Location
1818 N Meade St
Appleton, WI 549113454
Phone: (920) 731-4101
Type: Location
1 Medical Village Drive
Edgewood, KY 410173403
Phone: (859) 757-2927
Type: Location
703 MAIN ST DEPT OF
PATERSON, NJ 075032621
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Fisher Scientific Company L.L.C. ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Fisher Scientific Company L.L.C. | $13 |
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: 2025-07-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20141030000804 | I | Critical Care (Intensivists) | NY | TBD |
| I20190131000075 | I | Internal Medicine | NJ | TBD |
| I20250128004100 | I | Pulmonary Disease | WI | TBD |
| I20250410001404 | I | Pulmonary Disease | VA | TBD |
| I20250731000296 | I | Pulmonary Disease | KY | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 265 | 119 | $0 |
| 99292 | Critical care, each additional 30 minutes | 69 | 48 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 33 | 28 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 31 | 21 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 07503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Emergency Medicine | FL | |
| Nurse Practitioner | WI | |
| Internal Medicine | WI | |
| Nurse Practitioner | WI | |
| Physician Assistant | IN | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI |
Reviews
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