Dr Hinesh Upadhyay, MD in East Orange, NJ - Medicare Pulmonary Disease

Dr Hinesh Upadhyay, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in East Orange, New Jersey. He graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Advanced Cardiology Llc, St Lukes Warren Physician Group Pc, Saint Peters University Hospital and his current practice location is 300 Central Ave, East Orange, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 672-8400.

Dr Hinesh Upadhyay is licensed to practice in New Jersey (license number 25MA09477900) 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 1144632944.

Contact Information

	Dr Hinesh Upadhyay, MD
	300 Central Ave, East Orange, NJ 07018-2819
	(973) 672-8400
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Hinesh Upadhyay
Gender	Male
Speciality	Pulmonary Disease
Experience	21 Years
Location	300 Central Ave, East Orange, New Jersey
Accepts Medicare Assignments	Yes. 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 Hinesh Upadhyay graduated from medical school in 2005

NPI Data:

NPI Number: 1144632944
Provider Enumeration Date: 05/28/2014
Last Update Date: 08/06/2025

Medicare PECOS Information:

PECOS PAC ID: 7214156041
Enrollment ID: I20140910000235

Medical Identifiers

Medical identifiers for Dr Hinesh Upadhyay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144632944	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	25MA09477900 (New Jersey)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	25MA09477900 (New Jersey)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	R8676 (Texas)	Secondary
207RS0012X	Internal Medicine - Sleep Medicine	25MA09477900 (New Jersey)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	25MA09477900 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Warren Hospital	Phillipsburg, NJ	Hospital
Saint Peter's University Hospital	New brunswick, NJ	Hospital
St Luke's Hospital - Easton Campus	Easton, PA	Hospital

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 Hinesh Upadhyay allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Warren Physician Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467725184 PECOS PAC ID: 9739093675 Enrollment ID: O20031117000020

Entity Name	Saint Peters University Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114924834 PECOS PAC ID: 9931012382 Enrollment ID: O20040112000043

Entity Name	Advanced Cardiology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295871796 PECOS PAC ID: 5597751735 Enrollment ID: O20040422000915

Entity Name	Ccmma Nj Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124543095 PECOS PAC ID: 8123392495 Enrollment ID: O20170926000361

Entity Name	Pulmonary Critical Care And Sleep Associates Of Somerset
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669205373 PECOS PAC ID: 9032647060 Enrollment ID: O20250103002688

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 Hinesh Upadhyay 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 Address	Practice Location Address
Dr Hinesh Upadhyay, MD 873 Us Route 1 # 1092, North Brunswick, NJ 08902-3345 Ph: (551) 775-1820	Dr Hinesh Upadhyay, MD 300 Central Ave, East Orange, NJ 07018-2819 Ph: (973) 672-8400

Reviews and Comments

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Tara Rajiyah, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 60 Evergreen Pl Ste 4, East Orange, NJ 07018 Phone: 973-395-1550
Mrs. Indu N Vira, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 60 Evergreen Place, Suite 400, East Orange, NJ 07018 Phone: 973-395-1550 Fax: 973-395-1556
Dr. Vijay Ragavan, M.D Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave, Va New Jersey Healthcare System, East Orange, NJ 07018 Phone: 973-676-1000 Fax: 973-395-7003
Dr. Amrutha Viswanatha, M.D Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000
Dr. Sithiporn Sastrasinh, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave., Medical Service (111), East Orange, NJ 07018 Phone: 973-395-7771
Mr. Kulandaivelu Chandrasekaran, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave Ste 9-167 Msc 111, Veterans Affairs Medical Center, East Orange, NJ 07018 Phone: 973-676-1000
Dr. Nabeel Obaid, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 310 Central Ave, Suite 102, East Orange, NJ 07018 Phone: 201-512-9494

Dr Hinesh Upadhyay, MD - Medicare Pulmonary Disease in East Orange, NJ