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NUPUR UPPAL
NPI 1023366564
Internal Medicine - Nephrology in Great Neck, NY

Active since August 15, 2012PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
100 COMMUNITY DR FL 2, GREAT NECK, NY 11021(516) 465-8200(516) 465-8202 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 21, 2022, Jun 7, 2017 (2 updates tracked since 2017).

About Nupur Uppal NPPES

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

NUPUR UPPAL (NPI 1023366564) is an individual nephrology provider in Great Neck, New York, licensed in New York (289482) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1023366564
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameNUPUR UPPAL
Location Address100 COMMUNITY DR FL 2Great Neck, NY 11021-5501
Mailing Address100 Community Dr Fl 2Great Neck, NY 11021-5501 · (516) 465-8200 · Fax (516) 465-8202
Phone(516) 465-8200
Fax(516) 465-8202
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 15, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1023366564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 289482
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
100 COMMUNITY DR FL 2, Great Neck, NY 11021
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nupur Uppal is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557636842
PECOS Enrollment IDI20171012002808
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
99 services33 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims360 services$1.53 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier14 claims1,680 services$0.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers21 claims21 services$18.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RENITA ALEXANDER MD
Internal Medicine
100 COMMUNITY DR FL 2
GREAT NECK, NY 11021
Nassau County (516) 465-8207
DR. KENAR DINESH JHAVERI M.D
Internal Medicine (Nephrology)
100 COMMUNITY DR FL 2, DIVISION OF NEPHROLOGY, NORTH SHORE UNIV HOSPITAL
GREAT NECK, NY 11021
Nassau County (516) 465-8200
SUNGSOO KIM MD
Internal Medicine (Nephrology)
100 COMMUNITY DR FL 2
GREAT NECK, NY 11021
Nassau County (516) 465-8200
DR. SUSANA HONG MD
Internal Medicine (Nephrology)
100 COMMUNITY DR FL 2
GREAT NECK, NY 11021
Nassau County (516) 465-8200
DR. YINELKA GRISEL SILVERIO DE CASTRO MD
Internal Medicine (Nephrology)
100 COMMUNITY DR FL 2
GREAT NECK, NY 11021
Nassau County (516) 465-8207

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 Nupur Uppal's NPI number?

The NPI number for Nupur Uppal is 1023366564. It was assigned to this individual provider in the NPPES registry on August 15, 2012.

Where is Nupur Uppal located?

Nupur Uppal practices at 100 Community Dr Fl 2, Great Neck, NY 11021. The listed phone number is (516) 465-8200.

What is Nupur Uppal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Nupur Uppal enrolled in Medicare?

Yes. Nupur Uppal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nupur Uppal affiliated with any hospitals?

According to CMS data, Nupur Uppal is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Nupur Uppal was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.