Dr Gautham Kadiyali Upadhya, MD, MPH - Medicare Cardiovascular Disease (cardiology) in Staten Island, NY

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Dr Gautham Kadiyali Upadhya, MD, MPH is a medicare enrolled "Specialist/technologist Cardiovascular - Cardiovascular Invasive Specialist" physician in Staten Island, New York. He graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Advantagecare Physicians Pc, Amboy Medical Practice, P.c. and his current practice location is 1161 Victory Blvd, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (718) 818-7425.

Dr Gautham Kadiyali Upadhya is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447633805.

Contact Information

Dr Gautham Kadiyali Upadhya, MD, MPH
1161 Victory Blvd,
Staten Island, NY 10301-3621
(718) 818-7425
(855) 448-7807

Map and Direction




Physician's Profile

Full NameDr Gautham Kadiyali Upadhya
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience2 Years
Location1161 Victory Blvd, Staten Island, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Gautham Kadiyali Upadhya graduated from medical school in 2023
  NPI Data:
  • NPI Number: 1447633805
  • Provider Enumeration Date: 07/02/2015
  • Last Update Date: 02/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7517218365
  • Enrollment ID: I20180918003897

Medical Identifiers

Medical identifiers for Dr Gautham Kadiyali Upadhya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447633805NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 294581 (New York)Secondary
246XC2901XSpecialist/technologist Cardiovascular - Cardiovascular Invasive Specialist (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Richmond University Medical CenterStaten island, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advantagecare Physicians Pc2365735008302
Amboy Medical Practice, P.c.2860538170157

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Gautham Kadiyali Upadhya allows following entities to bill medicare on his behalf.
Entity NameThe Brookdale Hospital Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720028772
PECOS PAC ID: 4284545799
Enrollment ID: O20031120000600
Entity NameBrookdale Family Care Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962459644
PECOS PAC ID: 7315833159
Enrollment ID: O20040226001107
Entity NameUrban Strategies Brookdale Family Care Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215984422
PECOS PAC ID: 7113818196
Enrollment ID: O20040320000658
Entity NameAmboy Medical Practice, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700037975
PECOS PAC ID: 2860538170
Enrollment ID: O20090930000024
Entity NameAdvantagecare Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336578772
PECOS PAC ID: 2365735008
Enrollment ID: O20160719000446

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gautham Kadiyali Upadhya is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Gautham Kadiyali Upadhya, MD, MPH
1161 Victory Blvd,
Staten Island, NY 10301-3621

Ph: (718) 818-7425		Dr Gautham Kadiyali Upadhya, MD, MPH
1161 Victory Blvd,
Staten Island, NY 10301-3621

Ph: (718) 818-7425

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.