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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SHIVANI UPADHYAY M.D.
NPI 1073788360
Pediatrics - Pediatric Hematology-Oncology in Santa Barbara, CA

Active since April 28, 2008PECOS EnrolledAccepts Medicare Assignment
80.81/100
CMS Quality Rating
2401 BATH ST FL 2, SANTA BARBARA, CA 93105(805) 879-4240(880) 556-6303 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2026, Jan 23, 2019 (2 updates tracked since 2019).

About Dr. Shivani Upadhyay M.d. NPPES

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

DR. SHIVANI UPADHYAY M.D. (NPI 1073788360) is an individual pediatric hematology-oncology provider in Santa Barbara, California, licensed in California (A111701) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1073788360
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameDR. SHIVANI UPADHYAYCredential: M.D.
Location Address2401 BATH ST FL 2Santa Barbara, CA 93105-4324
Mailing AddressPo Box 689Santa Barbara, CA 93102-0689 · (805) 879-4240 · Fax (805) 566-3037
Phone(805) 879-4240
Fax(880) 556-6303
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 28, 2008
Last NPPES UpdateOctober 9, 20262 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1073788360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in CA · A111701
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License A111701 (CA)
2401 BATH ST FL 2, Santa Barbara, CA 93105
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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 and accepts Medicare assignment

Dr. Shivani Upadhyay M.d. 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 ID7517108608
PECOS Enrollment IDI20130801000493
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 Reassignments

2

Medicare enrollment records show Shivani Upadhyay reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cottage Clinical Associates
0.2 mi
Multi-Specialty
400 W PUEBLO ST
Santa Barbara, CA 93105
  • Reassigned Medicare billing, California enrollment
  • 104 clinicians in this Medicare group
NPI 1235790544 (805) 682-7111
Cottage Medical Foundation
0.2 mi
Clinic/Center
400 W PUEBLO ST
Santa Barbara, CA 93105
  • Reassigned Medicare billing, California enrollment
  • 157 clinicians in this Medicare group
NPI 1770352130 (805) 682-7111

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

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.

80.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.62
Promoting Interoperability100
Improvement Activities40
Cost55.43

Other Providers at the Same Location NPPES 12

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

MRS. GABRIELA HANSON-LOPEZ LCSW
Social Worker (Clinical)
2401 BATH ST FL 2
SANTA BARBARA, CA 93105
Santa Barbara County (805) 879-4240
JEFFREY ROBERT FRAZER MD
Pediatrics (Pediatric Cardiology)
2401 BATH ST FL 2
SANTA BARBARA, CA 93105
Santa Barbara County (805) 879-4240
GAUTAM NAGENDRA MD
Pediatrics (Pediatric Gastroenterology)
2401 BATH ST FL 2
SANTA BARBARA, CA 93105
Santa Barbara County (805) 879-4240
DR. ZOHREH KOUSHA-SHOAR MD., MPH.
Pediatrics (Pediatric Endocrinology)
2401 BATH ST FL 2
SANTA BARBARA, CA 93105
Santa Barbara County (805) 879-4240
ERIC J GROSSMAN MD
Surgery (Pediatric Surgery)
2401 BATH ST FL 2
SANTA BARBARA, CA 93105
Santa Barbara County (805) 879-4240
DR. REBECCA LINDA HOLT M.D.
Pediatrics (Neurodevelopmental Disabilities)
2401 BATH ST FL 2
SANTA BARBARA, CA 93105
Santa Barbara County (805) 879-4240
DR. MELLAD MICHAEL KHOSHNOOD MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2401 BATH ST FL 2
SANTA BARBARA, CA 93105
Santa Barbara County (805) 879-4240
MRS. REBECCA ANNE PIFER RN, NP
Nurse Practitioner (Acute Care)
2401 BATH ST FL 2
SANTA BARBARA, CA 93105
Santa Barbara County (805) 879-4240

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 Shivani Upadhyay's NPI number?

The NPI number for Shivani Upadhyay is 1073788360. It was assigned to this individual provider in the NPPES registry on April 28, 2008.

Where is Shivani Upadhyay located?

Shivani Upadhyay practices at 2401 Bath St Fl 2, Santa Barbara, CA 93105. The listed phone number is (805) 879-4240.

What is Shivani Upadhyay's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Shivani Upadhyay enrolled in Medicare?

Yes. Shivani Upadhyay 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 Shivani Upadhyay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shivani Upadhyay reassigns Medicare benefits to 2 organizations: Cottage Clinical Associates (Santa Barbara, CA) and Cottage Medical Foundation (Santa Barbara, CA). 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 Shivani Upadhyay'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 Shivani Upadhyay was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.