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SMITA UPADHYAY MD
NPI 1154883270
Family Medicine in Huntington, WV

Active since April 05, 2019PECOS EnrolledAccepts Medicare Assignment
1600 MEDICAL CENTER DR STE 1500, HUNTINGTON, WV 25701(304) 691-1100 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2025, Jan 26, 2023, Apr 5, 2019 (3 updates tracked since 2019).

About Smita Upadhyay Md NPPES

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

SMITA UPADHYAY MD (NPI 1154883270) is an individual family medicine provider in Huntington, West Virginia, licensed in West Virginia (35373) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Cabell Huntington Hospital, Inc, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1154883270
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSMITA UPADHYAYCredential: MD
Location Address1600 MEDICAL CENTER DR STE 1500Huntington, WV 25701-3657
Mailing Address1448 10th Ave Ste 304Huntington, WV 25701-3579 · (612) 823-2947
Phone(304) 691-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 5, 2019
Last NPPES UpdateSeptember 4, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1154883270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 35373
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.
1600 MEDICAL CENTER DR STE 1500, Huntington, WV 25701
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13952 Teays Valley RdHurricane, WV 25526-8728 · Phone (304) 757-6736
Location 2659 Central AveBarboursville, WV 25504-1313 · Phone (304) 736-5247
Location 34600 Route 152Lavalette, WV 25535-9702 · Phone (304) 697-9480

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, HealthPartners, Highmark Blue Cross Blue Shield West Virginia and more.Insurance ›

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

Smita 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 ID840616199
PECOS Enrollment IDI20250925000218
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.

Hospital Affiliations CMS Care Compare

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

Cabell Huntington Hospital, Inc

Acute Care Hospitals · Huntington, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510055
Location1340 Hal Greer BoulevardHuntington, WV 25701 · Cabell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25701 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

DR. SAMANTHA GRABO WRIGHT PHARMD
Pharmacist
1600 MEDICAL CENTER DR STE 1500
HUNTINGTON, WV 25701
Cabell County (304) 691-1457
EMMA ELIZABETH ELLIS DO
Student in an Organized Health Care Education/Training Program
1600 MEDICAL CENTER DR STE 1500
HUNTINGTON, WV 25701
Cabell County (304) 691-1165
KELLI ROSE SPURLOCK FNP
Nurse Practitioner (Family)
1600 MEDICAL CENTER DR STE 1500
HUNTINGTON, WV 25701
Cabell County (304) 691-1100
LYN O'CONNELL IMFT
Marriage & Family Therapist
1600 MEDICAL CENTER DR STE 1500
HUNTINGTON, WV 25701
Cabell County (304) 691-1100
MEGAN CHRISTINE WRIGHT PHARM.D.
Pharmacist
1600 MEDICAL CENTER DR STE 1500
HUNTINGTON, WV 25701
Cabell County (304) 691-1000
DR. LEE VAN HORN MD
Emergency Medicine
1600 MEDICAL CENTER DR STE 1500
HUNTINGTON, WV 25701
Cabell County (304) 691-1100
MR. KEVIN BLAKE BISHOP APRN NP-C
Nurse Practitioner (Family)
1600 MEDICAL CENTER DR STE 1500
HUNTINGTON, WV 25701
Cabell County (304) 691-1100
DR. ARTINA LANE MD
Family Medicine
1600 MEDICAL CENTER DR STE 1500
HUNTINGTON, WV 25701
Cabell County (304) 691-1100

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 Smita Upadhyay's NPI number?

The NPI number for Smita Upadhyay is 1154883270. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is Smita Upadhyay located?

Smita Upadhyay practices at 1600 Medical Center Dr Ste 1500, Huntington, WV 25701. The listed phone number is (304) 691-1100.

What is Smita Upadhyay's specialty?

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

Is Smita Upadhyay enrolled in Medicare?

Yes. Smita 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.

What insurance does Smita Upadhyay accept?

Health plans from CareSource, HealthPartners, Highmark Blue Cross Blue Shield West Virginia and Medica list Smita Upadhyay as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Smita Upadhyay affiliated with any hospitals?

According to CMS data, Smita Upadhyay is affiliated with Cabell Huntington Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Smita Upadhyay was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.