SHWETA UPADHYAY
NPI 1164782835
Internal Medicine - Pulmonary Disease in Bristol, CT

Q: What is Shweta Upadhyay's NPI number?

The NPI number for Shweta Upadhyay is 1164782835. It was assigned to this individual provider in the NPPES registry on May 29, 2012.

Q: What is Shweta Upadhyay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Shweta Upadhyay was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 29, 2012PECOS EnrolledAccepts Medicare Assignment

30.41/100

CMS Quality Rating

25 NEWELL RD, D-24, BRISTOL, CT 06010(860) 314-6020(860) 314-6024 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2026, Oct 25, 2018 (2 updates tracked since 2018).

On this page

About Shweta Upadhyay NPPES

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

SHWETA UPADHYAY (NPI 1164782835) is an individual pulmonary disease provider in Bristol, Connecticut, licensed in Connecticut (51387) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Manchester, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1164782835

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameSHWETA UPADHYAY

Location Address25 NEWELL RD, D-24Bristol, CT 06010-5100

Mailing Address25 Newell Rd Ste D24Bristol, CT 06010-5128 · (860) 314-6020

Phone(860) 314-6020

Fax(860) 314-6024

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateMay 29, 2012

Last NPPES UpdateMay 18, 20262 updates tracked since enumeration

NPPES CertifiedMay 18, 2026

✔ NPI 1164782835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in CT · 51387

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 51387 (CT)

25 NEWELL RD, Bristol, CT 06010

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Secondary Practice Location 1

Location 171 Haynes StManchester, CT 06040-4131 · Phone (860) 646-1222

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

Shweta Upadhyay 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 ID5193966695

PECOS Enrollment IDI20130725000710

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 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

149 services92 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

66 services53 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

63 services41 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

52 services52 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

42 services19 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

24 services21 patients

Test to measure the level of nitric oxide gas 95012

A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.

23 services21 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

23 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06010 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

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

30.41/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

12.45

Promoting Interoperability

Improvement Activities

Cost

47.24

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

6 suppliers39 claims39 services$38.47 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers35 claims35 services$87.84 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers25 claims72 services$33.87 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

4 suppliers12 claims68 services$17.31 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers22 claims22 services$57.85 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers32 claims32 services$18.64 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers50 claims277 services$2.18 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

5 suppliers16 claims16 services$11.83 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers72 claims72 services$15.46 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier35 claims35 services$913.25 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers19 claims19 services$14.29 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier50 claims53 services$5.50 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers55 claims55 services$42.05 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers159 claims160 services$68.64 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers36 claims37 services$32.35 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

6 suppliers19 claims3,806 services$0.04 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

9 suppliers39 claims4,288 services$0.08 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers47 claims47 services$33.17 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

12 suppliers48 claims48 services$23.32 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RONALD S GREEN MD

Internal Medicine (Gastroenterology)

25 NEWELL RD, SUITE E-36
BRISTOL, CT 06010

Naugatuck Valley Planning Region (860) 583-9252

RAINER WOLF BAGDASARIAN MD

Surgery

25 NEWELL RD, SUITE D28
BRISTOL, CT 06010

Naugatuck Valley Planning Region (860) 583-2003

DANIEL NORMAN SMILEY MD

Internal Medicine (Gastroenterology)

25 NEWELL RD, SUITE E-36
BRISTOL, CT 06010

Naugatuck Valley Planning Region (860) 583-9252

MICHAEL STEPHEN PTASZYNSKI MD

Internal Medicine (Pulmonary Disease)

25 NEWELL RD, #D-25
BRISTOL, CT 06010

Naugatuck Valley Planning Region (860) 314-6020

DR. ROBERT C DEBIASE MD

Internal Medicine (Cardiovascular Disease)

25 NEWELL RD, SUITE D24
BRISTOL, CT 06010

Naugatuck Valley Planning Region (860) 582-3235

CONNECTICUT ORTHOPAEDIC CARE, LLC

Orthopaedic Surgery

25 NEWELL RD
BRISTOL, CT 06010

Naugatuck Valley Planning Region (860) 585-3681

DR. JOANNA E SAMPSON M.D.

Internal Medicine (Gastroenterology)

25 NEWELL RD, SUITE E-36
BRISTOL, CT 06010

Naugatuck Valley Planning Region (860) 583-9252

ANASTASIA MARIA STERGOS RD, CDN

Dietitian, Registered

25 NEWELL RD
BRISTOL, CT 06010

Naugatuck Valley Planning Region (860) 845-8367

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 Shweta Upadhyay's NPI number?

The NPI number for Shweta Upadhyay is 1164782835. It was assigned to this individual provider in the NPPES registry on May 29, 2012.

Where is Shweta Upadhyay located?

Shweta Upadhyay practices at 25 Newell Rd D-24, Bristol, CT 06010. The listed phone number is (860) 314-6020.

What is Shweta Upadhyay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Shweta Upadhyay enrolled in Medicare?

Yes. Shweta 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.

When was this NPI record last updated?

The NPPES record for Shweta Upadhyay was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.