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APARNA UPADHYAYA NP
NPI 1154046563
Pediatrics in San Pablo, CA

Active since October 07, 2022PECOS Enrolled
2970 HILLTOP MALL RD STE 305, SAN PABLO, CA 94806(510) 222-5437 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Aparna Upadhyaya Np NPPES

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

APARNA UPADHYAYA NP (NPI 1154046563) is an individual pediatrics provider in San Pablo, California, licensed in California (1598917247) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154046563
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAPARNA UPADHYAYACredential: NP
Location Address2970 HILLTOP MALL RD STE 305San Pablo, CA 94806-5274
Mailing Address4222 Deep Creek RdFremont, CA 94555-2061 · (408) 921-6942
Phone(510) 222-5437
Sole ProprietorYes
Enumeration DateOctober 7, 2022
NPPES CertifiedOctober 7, 2022
✔ NPI 1154046563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 1598917247
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2970 HILLTOP MALL RD STE 305, San Pablo, CA 94806
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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, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aparna Upadhyaya Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

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

Ucsf Medical Group Business Services
16 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808
University Of California San Francisco
16 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1164512851 (415) 476-1000
University Anesthesia Medical Group
16 mi
Anesthesiology
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 723 clinicians in this Medicare group
NPI 1528137296 (415) 476-1000
Bay Area Community Health
35 mi
Federally Qualified Health Center (FQHC)
1999 MOWRY AVENUE SUITE A&B&D&F&N
Fremont, CA 94538
  • Reassigned Medicare billing, California enrollment
  • 127 clinicians in this Medicare group
NPI 1184791998 (510) 770-8040

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 94806 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 4

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

WILLIAM FURTH MD
Pediatrics
2970 HILLTOP MALL RD STE 305
RICHMOND, CA 94806
Contra Costa County (510) 222-5437
LILLY PAKAWONGSE RN, MSN, CPNP-PC
Nurse Practitioner (Pediatrics)
2970 HILLTOP MALL RD STE 305
RICHMOND, CA 94806
Contra Costa County (510) 222-5437
JUDITH AMANDA MILLSTEIN M.D.
Pediatrics
2970 HILLTOP MALL RD STE 305
RICHMOND, CA 94806
Contra Costa County (510) 222-5437
HANNAH OBANNI
Nurse Practitioner (Pediatrics)
2970 HILLTOP MALL RD STE 305
RICHMOND, CA 94806
Contra Costa County (510) 222-5437

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 Aparna Upadhyaya's NPI number?

The NPI number for Aparna Upadhyaya is 1154046563. It was assigned to this individual provider in the NPPES registry on October 7, 2022.

Where is Aparna Upadhyaya located?

Aparna Upadhyaya practices at 2970 Hilltop Mall Rd Ste 305, San Pablo, CA 94806. The listed phone number is (510) 222-5437.

What is Aparna Upadhyaya's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Aparna Upadhyaya enrolled in Medicare?

Yes. Aparna Upadhyaya is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Aparna Upadhyaya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aparna Upadhyaya reassigns Medicare benefits to 4 organizations: Ucsf Medical Group Business Services (San Francisco, CA), University Of California San Francisco (San Francisco, CA), University Anesthesia Medical Group (San Francisco, CA) and Bay Area Community Health (Fremont, 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 Aparna Upadhyaya'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 Aparna Upadhyaya was last updated on October 7, 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.