SMITA UPADHYAY MD
NPI 1154883270
Family Medicine in Huntington, WV
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 St Mary's Medical Center, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Smita Upadhyay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Huntington, WV 25701
- Reassigned Medicare billing, West Virginia enrollment
- 525 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary's Medical Center
Acute Care Hospitals · Huntington, WVCabell Huntington Hospital, Inc
Acute Care Hospitals · Huntington, WVPhysician 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.
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.
HUNTINGTON, WV 25701
HUNTINGTON, WV 25701
HUNTINGTON, WV 25701
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.
Which organization bills Medicare for Smita Upadhyay's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Smita Upadhyay reassigns Medicare benefits to University Physicians & Surgeons, Inc (Huntington, WV). The 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 Smita Upadhyay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Smita Upadhyay accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia 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 St Mary's Medical Center and 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 14 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.
# Smita Upadhyay, MD · NPI 1154883270
Family Medicine physician in Huntington, West Virginia. Individual provider, active in the CMS NPPES registry since April 5, 2019.
## Identity
- **NPI:** 1154883270 (Entity type: Individual)
- **Enumerated:** April 5, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35373 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 MEDICAL CENTER DR STE 1500, Huntington, WV 25701-3657
- **Phone:** (304) 691-1100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Physicians & Surgeons, Inc (NPI 1730183286, Huntington, WV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** September 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154883270) · Data from the CMS NPPES public registry.