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MANISH UPADHYAY, MD, INC
NPI 1104186691
Internal Medicine - Endocrinology, Diabetes & Metabolism in Roseville, CA

Active since May 18, 2012CLIA 05D2038113 · Waiver
508 GIBSON DR, SUITE NO 270, ROSEVILLE, CA 95678(916) 786-6727(916) 786-6748 Get Directions Write a Review

NPPES record last updated: November 6, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Manish Upadhyay, Md, Inc NPPES

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

MANISH UPADHYAY, MD, INC (NPI 1104186691) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Roseville, California and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through March 12, 2028 and lists Manish Upadhyay, President, as its authorized official.

NPPES Registry Identity

NPI1104186691
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameMANISH UPADHYAY, MD, INC
Location Address508 GIBSON DR, SUITE NO 270Roseville, CA 95678-5794
Mailing Address508 Gibson Dr, Suite No 270Roseville, CA 95678-5794 · (916) 786-6727 · Fax (916) 786-6748
Phone(916) 786-6727
Fax(916) 786-6748
Organization SubpartNo
Authorized OfficialManish UpadhyayPresident · (916) 786-6727
Enumeration DateMay 18, 2012
Last NPPES UpdateNovember 6, 2014
✔ NPI 1104186691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CA · C52329
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
508 GIBSON DR, Roseville, CA 95678
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manish Upadhyay, Md, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Manish Upadhyay, MD, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Manish Upadhyay, MD
Endocrinology
NPI 1962432039
508 GIBSON DR STE 270
Roseville, CA 95678
(916) 786-6727
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2038113

Manish Upadhyay, MD Inc · Roseville, CA
Active · expires Mar 12, 2028
CLIA Number05D2038113
Laboratory TypePhysician Office
Certificate Effective DateMarch 13, 2026
Certificate Expiration DateMarch 12, 2028
Laboratory DirectorManish R. Upadhyay
Laboratory Phone(916) 786-6727
Laboratory LocationManish Upadhyay, MD Inc508 Gibson Dr Ste 270, Roseville, CA 95678
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Manish Upadhyay, MD, Inc's NPI number?

The NPI number for Manish Upadhyay, MD, Inc is 1104186691. It was assigned to this organization in the NPPES registry on May 18, 2012.

Where is Manish Upadhyay, MD, Inc located?

Manish Upadhyay, MD, Inc is located at 508 Gibson Dr Suite No 270, Roseville, CA 95678. The listed phone number is (916) 786-6727.

What is Manish Upadhyay, MD, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Manish Upadhyay, MD, Inc enrolled in Medicare?

Yes. Manish Upadhyay, MD, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Manish Upadhyay, MD, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Manish Upadhyay, MD, Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Manish Upadhyay, MD, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2038113) is associated with this NPI, valid through March 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Manish Upadhyay, MD, Inc was last updated on November 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.