DR. UNNATI UPADHYAY MD
NPI 1114411410
Family Medicine in Normal, IL

Q: What is Unnati Upadhyay's NPI number?

The NPI number for Unnati Upadhyay is 1114411410. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Q: What is Unnati Upadhyay's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Unnati Upadhyay was last updated on April 27, 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.

Active since June 20, 2018PECOS EnrolledAccepts Medicare Assignment

1300 FRANKLIN AVE, NORMAL, IL 61761(309) 268-3598 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2022, Jun 20, 2018 (2 updates tracked since 2018).

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About Dr. Unnati Upadhyay Md NPPES

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

DR. UNNATI UPADHYAY MD (NPI 1114411410) is an individual family medicine provider in Normal, Illinois, licensed in Illinois (036154016) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1114411410

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. UNNATI UPADHYAYCredential: MD

Location Address1300 FRANKLIN AVENormal, IL 61761-3592

Mailing Address611 W. Park St., FapcUrbana, IL 61801

Phone(309) 268-3598

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 20, 2018

Last NPPES UpdateApril 27, 20222 updates tracked since enumeration

NPPES CertifiedApril 27, 2022

✔ NPI 1114411410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036154016

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1300 FRANKLIN AVE, Normal, IL 61761

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Secondary Practice Location 1

Location 12020 Ogden Ave Ste 330Aurora, IL 60504-5897 · Phone (630) 978-4850 · Fax (630) 978-6865

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. Unnati Upadhyay Md 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 ID2961759436

PECOS Enrollment IDI20211026002323

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

Medicare enrollment records show Unnati Upadhyay reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carle West Physician Group Inc

Same address

Family Medicine

1302 FRANKLIN AVE STE 3400
Normal, IL 61761

Reassigned Medicare billing, Illinois enrollment
698 clinicians in this Medicare group

NPI 1467074138 (309) 556-8295

Carle Health Medical Group

49 mi

Internal Medicine

611 W PARK ST
Urbana, IL 61801

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Carle Health Care Incorporated
2,516 clinicians in this Medicare group

NPI 1154653947 (217) 383-8300

Advanced Integrative Medicine

90 mi

Internal Medicine

12624 S ROUTE 59
Plainfield, IL 60585

Reassigned Medicare billing, Illinois enrollment
8 clinicians in this Medicare group

NPI 1497937536 (815) 577-6446

Copley Memorial Hospital, Inc.

93 mi

Endocrinology, Diabetes & Metabolism

2040 OGDEN AVE STE 217
Aurora, IL 60504

Reassigned Medicare billing, Illinois enrollment
79 clinicians in this Medicare group

NPI 1619466034 (630) 499-4721

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

Areas of Expertise CMS Part B claims 4

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.

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.

300 services272 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

22 services22 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

13 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140127

Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County

Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140162

Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County

Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140189

Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County

Emergency services Birthing friendly

Carle Eureka Hospital

Critical Access Hospitals · Eureka, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141309

Location101 S Major StEureka, IL 61530 · Woodford County

Emergency services

Gibson Community Hospital

Critical Access Hospitals · Gibson City, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141317

Location1120 N Melvin StreetGibson City, IL 60936 · Ford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61761 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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.

MRS. LAURA ANN LAWSON C.N.M., W.H.N.P.

Midwife

1300 FRANKLIN AVE, SUITE 270
NORMAL, IL 61761

McLean County (309) 585-3535

NICHOLAS FLORENCE M.D.

Radiology (Diagnostic Radiology)

1300 FRANKLIN AVE
NORMAL, IL 61761

McLean County (309) 454-1400

SUMMER MUSTAFA HASSAN D.O.

Family Medicine

1300 FRANKLIN AVE, SUITE #110
NORMAL, IL 61761

McLean County (309) 268-3502

DR. XIAO-TIAN AUSTIN MD

Radiology (Diagnostic Radiology)

1300 FRANKLIN AVE
NORMAL, IL 61761

McLean County (309) 454-1400

PREMIER MEDICAL GROUP, LLC

Obstetrics & Gynecology

1300 FRANKLIN AVE, SUITE 360
NORMAL, IL 61761

McLean County (309) 808-0940

GERARDO A GRIECO M.D.

Surgery

1300 FRANKLIN AVE, SUITE 210
NORMAL, IL 61761

McLean County (309) 452-1193

BLOOMINGTON HEART INSTITUTE

Internal Medicine (Cardiovascular Disease)

1300 FRANKLIN AVE, SUITE 310
NORMAL, IL 61761

McLean County (309) 862-3000

ADVOCATE HEALTH AND HOSPITALS CORP.

Hospitalist

1300 FRANKLIN AVE, SUITE 380
NORMAL, IL 61761

McLean County (309) 268-3642

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 Unnati Upadhyay's NPI number?

The NPI number for Unnati Upadhyay is 1114411410. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Where is Unnati Upadhyay located?

Unnati Upadhyay practices at 1300 Franklin Ave, Normal, IL 61761. The listed phone number is (309) 268-3598.

What is Unnati Upadhyay's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Unnati Upadhyay enrolled in Medicare?

Yes. Unnati 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 Unnati Upadhyay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Unnati Upadhyay reassigns Medicare benefits to 4 organizations: Carle West Physician Group Inc (Normal, IL), Carle Health Medical Group (Urbana, IL), Advanced Integrative Medicine (Plainfield, IL) and Copley Memorial Hospital, Inc. (Aurora, IL). 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 Unnati Upadhyay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Unnati Upadhyay affiliated with any hospitals?

According to CMS data, Unnati Upadhyay is affiliated with Carle Bromenn Medical Center, St Joseph Medical Center, Sarah Bush Lincoln Health Center, Carle Eureka Hospital and Gibson Community Hospital.

When was this NPI record last updated?

The NPPES record for Unnati Upadhyay was last updated on April 27, 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.