Dr Hinesh Upadhyay, MD - Medicare Pulmonary Disease in Edison, NJ

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Dr Hinesh Upadhyay, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Edison, New Jersey. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice St Lukes Warren Physician Group Pc, Saint Peters University Hospital and his current practice location is 65 James St, Edison, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 321-7935.

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
65 James St,
Edison, NJ 08820
(732) 321-7935
Not Available

Map and Direction




Physician's Profile

Full NameDr Hinesh Upadhyay
GenderMale
SpecialityPulmonary Disease
Experience19 Years
Location65 James St, Edison, New Jersey
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 Hinesh Upadhyay graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1144632944
  • Provider Enumeration Date: 05/28/2014
  • Last Update Date: 08/09/2022
  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.
IdentifierTypeStateIssuer
1144632944NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MA09477900 (New Jersey)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 25MA09477900 (New Jersey)Secondary
207RS0012XInternal Medicine - Sleep Medicine 25MA09477900 (New Jersey)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 25MA09477900 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Peter's University HospitalNew brunswick, NJHospital
St Luke's Warren HospitalPhillipsburg, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Warren Physician Group Pc9739093675314
Saint Peters University Hospital9931012382110

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 NameSt Lukes Warren Physician Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467725184
PECOS PAC ID: 9739093675
Enrollment ID: O20031117000020
Entity NameSaint Peters University Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114924834
PECOS PAC ID: 9931012382
Enrollment ID: O20040112000043
Entity NameApogee Medical Group Of New Jersey Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104873629
PECOS PAC ID: 8224086103
Enrollment ID: O20050107000014
Entity NameNottingham Physician Associates, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225292063
PECOS PAC ID: 5799837720
Enrollment ID: O20090722000168
Entity NameNj Acute Care Specialists Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073805917
PECOS PAC ID: 3678742269
Enrollment ID: O20110817000093
Entity NameCcmma Nj Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124543095
PECOS PAC ID: 8123392495
Enrollment ID: O20170926000361

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 AddressPractice Location Address
Dr Hinesh Upadhyay, MD
10 Kristen Ct,
Somerset, NJ 08873-5048

Ph: () -		Dr Hinesh Upadhyay, MD
65 James St,
Edison, NJ 08820

Ph: (732) 321-7935

Reviews and Comments


Internal Medicine Doctors in Edison, NJ

Dr. Vasilios Velmahos, M.D
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 113 James St, Edison, NJ 08820
Phone: 732-906-1900    Fax: 732-906-6666
Dr. Pankaj Gupta, MD, MBA
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 31 Southfield Rd, Edison, NJ 08820
Phone: 860-989-8829    
Dr. Howard S. Cohen, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 98 James St, Suite 313, Edison, NJ 08820
Phone: 732-635-0916    Fax: 732-494-4907
Dr. Malvin S Keller, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 225 May St, Suite F, Edison, NJ 08837
Phone: 732-738-8855    Fax: 732-738-4141
Charumathi Rathnakumar, M.D
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 35 Progress St, Suite A-4, Edison, NJ 08820
Phone: 732-514-9624    Fax: 732-377-3767
Anil Kumar Singh, M.D
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1740 Oak Tree Rd Ste B, Edison, NJ 08820
Phone: 732-494-5000    Fax: 732-494-6698
Dr. Aron A Barsky, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4 Ethel Rd, Suite 405b, Edison, NJ 08817
Phone: 732-287-0255    Fax: 732-287-0355

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.