Niraj Upadhayay, MD is a medicare enrolled "Hospitalist" physician in Edgewood, Kentucky. He graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Summit Medical Group Inc and his current practice location is
1 Medical Village Dr, Edgewood, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 301-8074.
Niraj Upadhayay is licensed to practice in Kentucky (license number 46322) 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 1497947964.
Physician's Profile
| Full Name | Niraj Upadhayay |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 21 Years |
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| Location | 1 Medical Village Dr, Edgewood, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Niraj Upadhayay graduated from medical school in 2005
NPI Data:
- NPI Number: 1497947964
- Provider Enumeration Date: 08/17/2007
- Last Update Date: 03/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 9638364458
- Enrollment ID: I20130802000783
Medical Identifiers
Medical identifiers for Niraj Upadhayay such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497947964 | NPI | - | NPPES |
| 0087703 | Medicaid | OH | |
| 721089 | Other | IL | AETNA |
| 036125356 | Medicaid | IL | |
| 3932056 | Other | IL | BCBS |
| 7100259620 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 46322 (Kentucky) | Secondary |
| 208M00000X | Hospitalist | 036125356 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 46322 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Summit Medical Group Inc | 2163326240 | 803 |
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. Niraj Upadhayay allows following entities to bill medicare on his behalf.
| Entity Name | Summit Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750343216
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738 |
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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. Niraj Upadhayay 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 |
|---|
Niraj Upadhayay, MD
Po Box 635283,
Cincinnati, OH 45263-5283
Ph: (859) 301-8074 | Niraj Upadhayay, MD
1 Medical Village Dr,
Edgewood, KY 41017
Ph: (859) 301-8074 |
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