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GARGI H UPADHYAYA M.D.
NPI 1013957190
Internal Medicine - Medical Oncology in Pasadena, CA

Active since June 07, 2006PECOS Enrolled
1121 ARDEN RD, PASADENA, CA 91106(626) 256-4673 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 2, 2020, Nov 18, 2019, Aug 5, 2017 and 1 more (4 updates tracked since 2017).

About Gargi H Upadhyaya M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARGI H UPADHYAYA M.D. (NPI 1013957190) is an individual medical oncology provider in Pasadena, California, licensed in California (A49787) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013957190
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameGARGI H UPADHYAYACredential: M.D.
Location Address1121 ARDEN RDPasadena, CA 91106
Mailing Address1121 Arden RdPasadena, CA 91106-4005
Phone(626) 256-4673
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateJanuary 2, 20204 updates tracked since enumeration
✔ NPI 1013957190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in CA · A49787
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
1121 ARDEN RD, Pasadena, CA 91106
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gargi H Upadhyaya M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gargi Upadhyaya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Complete Care Community Health Center, Inc
7.5 mi
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
2928 E CESAR E CHAVEZ AVE
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 88 clinicians in this Medicare group
NPI 1215113964 (323) 266-6700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gargi Upadhyaya's NPI number?

The NPI number for Gargi Upadhyaya is 1013957190. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Gargi Upadhyaya located?

Gargi Upadhyaya practices at 1121 Arden Rd, Pasadena, CA 91106. The listed phone number is (626) 256-4673.

What is Gargi Upadhyaya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Gargi Upadhyaya enrolled in Medicare?

Yes. Gargi Upadhyaya is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gargi Upadhyaya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gargi Upadhyaya reassigns Medicare benefits to Complete Care Community Health Center, Inc (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gargi Upadhyaya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gargi Upadhyaya was last updated on January 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.