HARSHA N UPADHYA DO
NPI 1053054379
Family Medicine in Cleveland, OH
About Harsha N Upadhya Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HARSHA N UPADHYA DO (NPI 1053054379) is an individual family medicine provider in Cleveland, Ohio, licensed in Texas (BP10078945) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Harsha N Upadhya Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Harsha Upadhya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Vidor, TX 77662
- Reassigned Medicare billing, Texas enrollment
- 223 clinicians in this Medicare group
Houston, TX 77054
- Reassigned Medicare billing, Texas enrollment
- 497 clinicians in this Medicare group
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 44195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLEVELAND, OH 44195
CLEVELAND, OH 44195
CLEVELAND, OH 44195
CLEVELAND, OH 44195
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 Harsha Upadhya's NPI number?
The NPI number for Harsha Upadhya is 1053054379. It was assigned to this individual provider in the NPPES registry on April 14, 2022.
Where is Harsha Upadhya located?
Harsha Upadhya practices at 9500 Euclid Ave, Cleveland, OH 44195. The listed phone number is (216) 444-2200.
What is Harsha Upadhya's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Harsha Upadhya enrolled in Medicare?
Yes. Harsha Upadhya 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.
Which organizations bill Medicare for Harsha Upadhya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Harsha Upadhya reassigns Medicare benefits to 2 organizations: Tmc Provider Group, PLLC (Vidor, TX) and Privia Medical Group Gulf Coast, PLLC (Houston, TX). Each 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 Harsha Upadhya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Harsha Upadhya accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit and 1 other insurer list Harsha Upadhya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Harsha Upadhya was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Harsha N Upadhya, DO · NPI 1053054379
Family Medicine physician in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since April 14, 2022.
## Identity
- **NPI:** 1053054379 (Entity type: Individual)
- **Enumerated:** April 14, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** BP10078945 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 9500 EUCLID AVE, Cleveland, OH 44195-0001
- **Phone:** (216) 444-2200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Tmc Provider Group, PLLC (NPI 1033828058, Vidor, TX); Privia Medical Group Gulf Coast, PLLC (NPI 1578969465, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 2022
## Record status
- **NPPES last updated:** June 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053054379) · Data from the CMS NPPES public registry.