DR. ANAND DEVIPRAKASH UDUPA (MD) – Nephrology Physician, NPI 1043303084

DR. ANAND DEVIPRAKASH UDUPA (MD) is a healthcare provider. based in Tulsa, Oklahoma. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 101941 (GA). The NPI Number for DR. ANAND DEVIPRAKASH UDUPA (MD) is 1043303084

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANAND DEVIPRAKASH UDUPA (MD)
NPI
1043303084
Phone
(918) 481-2763
Address
6465 S YALE AVE
Enumeration Date
2 October 2006
Last Update Date
30 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9187125000152
Graduation Year
1978 (48 years ago)
PAC ID
1658323811
Group Practice PAC ID
2062464399
Professional Enrollment ID
I20050217000019
Address ID
OK741367807TU6465XAVEX401
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

123 NEPHROLOGY in OK

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Provider Addresses for DR. ANAND DEVIPRAKASH UDUPA (MD)

  • 6465, South Yale Avenue, Willow Creek, Tulsa, Tulsa County, Oklahoma, 74136, United States

    SUITE 507

    TULSA, OK 741367823

    Phone: (918) 481-2763

    Fax: (918) 481-2775

    Type: Mailing

  • 4450 CALIBRE XING NW STE 1126

    ACWORTH, GA 301014104

    Phone: (470) 227-8130

    Fax: (470) 747-7588

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 128 Open Payments records for all available years, with a total value of $2,767.

Total Amount is formed as General ($2,767) + Research ($0) + Ownership ($0) = $2,767.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($745).

Total Amount

$2,767

General + Research + Ownership

Payments

128

Total payment records

General Amount

$2,767

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2025-08-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050217000019INephrologyOKTBD
I20250825000789INephrologyGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes408137$0
99214Established patient office or other outpatient visit, 30-39 minutes302146$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)29463$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes25299$0
90966Home dialysis services per month (20 years or older)12221$0
View full utilization report →

Insurance plans in this area (ZIP 74136)

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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: 2062464399View full group profile
NameSpecialtyState
Nephrology, Internal MedicineOK
N E P H R O L O G YOK
-OK
-OK
Certified Clinical Nurse Specialist (Cns)OK
Nurse PractitionerOK
-OK
N E P H R O L O G YOK
Nephrology, Internal MedicineOK
-OK

Reviews

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Frequently asked questions

What is the registry number for DR. ANAND DEVIPRAKASH UDUPA (MD)?
The registry entry for DR. ANAND DEVIPRAKASH UDUPA (MD) shows NPI 1043303084.
Is DR. ANAND DEVIPRAKASH UDUPA (MD)'s NPI status active today?
Active status means DR. ANAND DEVIPRAKASH UDUPA (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. ANAND DEVIPRAKASH UDUPA (MD)?
NPPES ties DR. ANAND DEVIPRAKASH UDUPA (MD) to Nephrology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ANAND DEVIPRAKASH UDUPA (MD)?
DR. ANAND DEVIPRAKASH UDUPA (MD) shows a connection to Tulsa, Oklahoma in registry-derived data.
Can I export DR. ANAND DEVIPRAKASH UDUPA (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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