Sanjay Upadhyay, MD - Medicare Family Practice in Philadelphia, PA

Sanjay Upadhyay, MD is a medicare enrolled "Family Medicine" physician in Philadelphia, Pennsylvania. He graduated from medical school in 2006 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Westchester Medical Group, P.c, Select Pt, Ot And Slp Rehabilitation Ny, Pllc and his current practice location is 1741 Frankford Ave, Suite 100a, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 425-2424.

Sanjay Upadhyay is licensed to practice in Pennsylvania (license number MD460862) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1538350053.

Contact Information

Sanjay Upadhyay, MD
1741 Frankford Ave, Suite 100a,
Philadelphia, PA 19125-2445
(215) 425-2424
(215) 425-0342

Map and Direction




Physician's Profile

Full NameSanjay Upadhyay
GenderMale
SpecialityFamily Practice
Experience19 Years
Location1741 Frankford Ave, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sanjay Upadhyay graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1538350053
  • Provider Enumeration Date: 08/08/2007
  • Last Update Date: 05/30/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2668657685
  • Enrollment ID: I20110506000005

Medical Identifiers

Medical identifiers for Sanjay Upadhyay such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538350053NPI-NPPES
253746OtherNYLICENSE#
MD460862OtherPALICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 253746 (New York)Secondary
207Q00000XFamily Medicine MD460862 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tender Loving Care, An Amedisys CompanyGarden city, NYHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Westchester Medical Group, P.c6406752963393
Select Pt, Ot And Slp Rehabilitation Ny, Pllc3870986656138

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. Sanjay Upadhyay allows following entities to bill medicare on his behalf.
Entity NameWestchester Medical Group, P.c
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881653822
PECOS PAC ID: 6406752963
Enrollment ID: O20031208000533
Entity NameMorris Heights Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184694291
PECOS PAC ID: 3072798172
Enrollment ID: O20110505000508

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. Sanjay 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
Sanjay Upadhyay, MD
2450 W Hunting Park Ave, 2nd Floor Tpi,
Philadelphia, PA 19129-1302

Ph: (215) 926-9022
Sanjay Upadhyay, MD
1741 Frankford Ave, Suite 100a,
Philadelphia, PA 19125-2445

Ph: (215) 425-2424

Reviews and Comments


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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.