JYOTI UPADHYAY (M.D.) – Pediatric Urology Physician, NPI 1003985235
Pediatric Urology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JYOTI UPADHYAY (M.D.)
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 322163623
Phone: (904) 450-6063
Fax: (904) 539-4091
Type: Mailing
5153 N 9TH AVE STE 4A
PENSACOLA, FL 325048785
Phone: (850) 416-1525
Fax: (850) 416-1524
Type: Location
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
ATLANTA, GA 303741593
Phone: (757) 668-7866
Fax: (757) 668-7883
Type: Mailing
601, Childrens Lane, Norfolk, Virginia, 23507, United States
NORFOLK, VA 235071910
Phone: (757) 668-7878
Fax: (757) 668-7883
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $842.
Total Amount is formed as General ($842) + Research ($0) + Ownership ($0) = $842.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: COLOPLAST CORP ($649).
Total Amount
$842
General + Research + Ownership
Payments
14
Total payment records
General Amount
$842
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| COLOPLAST CORP | $649 |
| Medtronic, Inc. | $103 |
| Alnylam Pharmaceuticals Inc. | $89 |
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: 2023-02-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20080325000480 | I | Urology | VA | TBD |
| I20220827000683 | I | Urology | FL | TBD |
| I20230224001559 | I | Urology | TN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32216)
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