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

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: July 26, 2026.

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

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
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

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, and ordering and referring status from the CMS PECOS system.

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.

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 4

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

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.

Family Medicine (Geriatric Medicine)
1300 FRANKLIN AVE, SUITE 100
NORMAL, IL 61761
Hospitalist
1300 FRANKLIN AVE, SUITE 250
NORMAL, IL 61761
Hospitalist
1300 FRANKLIN AVE, SUITE 250
NORMAL, IL 61761
Nurse Practitioner (Acute Care)
1300 FRANKLIN AVE, SUITE 100
NORMAL, IL 61761
Internal Medicine (Pulmonary Disease)
1300 FRANKLIN AVE, SUITE 340
NORMAL, IL 61761
Midwife
1300 FRANKLIN AVE, SUITE #270
NORMAL, IL 61761
Physician Assistant (Medical)
1300 FRANKLIN AVE, SUITE 230-C
NORMAL, IL 61761
Internal Medicine (Cardiovascular Disease)
1300 FRANKLIN AVE, SUITE 310
NORMAL, IL 61761

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.

Is Unnati Upadhyay affiliated with any hospitals?

According to CMS data, Unnati Upadhyay is affiliated with Carle Bromenn Medical Center, St Joseph Medical 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 with the weekly NPPES data releases published by CMS.