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JAGRITI UPADHYAY MD
NPI 1205148095
Internal Medicine - Endocrinology, Diabetes & Metabolism in Roxbury, MA

Active since July 08, 2010PECOS EnrolledAccepts Medicare Assignment
55 DIMOCK ST, ROXBURY, MA 02119(617) 442-8800(617) 442-4088 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2022, Apr 13, 2020 (2 updates tracked since 2020).

About Jagriti Upadhyay Md NPPES

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

JAGRITI UPADHYAY MD (NPI 1205148095) is an individual endocrinology, diabetes & metabolism provider in Roxbury, Massachusetts, licensed in Massachusetts (243716) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Anna Jaques Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1205148095
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameJAGRITI UPADHYAYCredential: MD
Location Address55 DIMOCK STRoxbury, MA 02119-1029
Mailing Address55 Dimock StRoxbury, MA 02119-1029 · (617) 442-8800 · Fax (617) 442-4088
Phone(617) 442-8800
Fax(617) 442-4088
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 8, 2010
Last NPPES UpdateAugust 2, 20222 updates tracked since enumeration
NPPES CertifiedAugust 2, 2022
✔ NPI 1205148095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MA · 243716
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 243716 (MA)
55 DIMOCK ST, Roxbury, MA 02119
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Jagriti 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 ID6901025113
PECOS Enrollment IDI20170607000538
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 7

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.
379 services292 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.
103 services103 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.
89 services29 patients
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.
57 services50 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.
27 services26 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
23 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220029
Location25 Highland AvenueNewburyport, MA 01950 · Essex County
Emergency services Birthing friendly

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02119 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
30 suppliers182 claims500 services$6.09 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
17 suppliers58 claims88 services$1.06 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
16 suppliers220 claims220 services$185.44 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.

DR. BELA ROSA BASHAR MD
Internal Medicine (Infectious Disease)
55 DIMOCK ST, DIMOCK COMMUNITY HEALTH CENTER
ROXBURY, MA 02119
Suffolk County (617) 442-8800
MS. GILLIAN ERICA HELFMAN
Speech-Language Pathologist
55 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
DIMOCK COMMUNITY HEALTH CENTER, INC
Pharmacy (Community/Retail Pharmacy)
55 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 989-1022
IVELISSE VAZQUEZ MSW, LCSW
Social Worker (Clinical)
55 DIMOCK ST, ROOM 266A
ROXBURY, MA 02119
Suffolk County (617) 442-8800
MS. JESSICA LEE PATNODE LCSW
Social Worker
55 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
MISS LISA DUPREE STUDENT
Student in an Organized Health Care Education/Training Program
55 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
DEBORAH C FANARA-VIASUS
Occupational Therapist (Pediatrics)
55 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
CANDI MOORE RDH
Dental Hygienist
55 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800

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 Jagriti Upadhyay's NPI number?

The NPI number for Jagriti Upadhyay is 1205148095. It was assigned to this individual provider in the NPPES registry on July 8, 2010.

Where is Jagriti Upadhyay located?

Jagriti Upadhyay practices at 55 Dimock St, Roxbury, MA 02119. The listed phone number is (617) 442-8800.

What is Jagriti Upadhyay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Jagriti Upadhyay enrolled in Medicare?

Yes. Jagriti 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 Jagriti Upadhyay accept?

Health plans from Anthem Blue Cross and Blue Shield list Jagriti 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 Jagriti Upadhyay affiliated with any hospitals?

According to CMS data, Jagriti Upadhyay is affiliated with Anna Jaques Hospital, Northeast Hospital Corporation, Beth Israel Deaconess Medical Center, Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Jagriti Upadhyay was last updated on August 2, 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.