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DR. SHEFALI PANDYA UPADHYAY DMD
NPI 1235229428
Dentist - General Practice in Wilmington, DE

Active since October 16, 2006PECOS Enrolled
707 FOULK RD, SUITE 201, WILMINGTON, DE 19803(302) 421-9960(302) 421-9970 Get Directions Write a Review

NPPES record last updated: May 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shefali Pandya Upadhyay Dmd NPPES

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

DR. SHEFALI PANDYA UPADHYAY DMD (NPI 1235229428) is an individual general practice provider in Wilmington, Delaware, licensed in Delaware (G1-0001124) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235229428
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHEFALI PANDYA UPADHYAYCredential: DMD
Location Address707 FOULK RD, SUITE 201Wilmington, DE 19803-3737
Mailing Address707 Foulk Rd, Suite 201Wilmington, DE 19803-3737 · (302) 421-9960 · Fax (302) 421-9970
Phone(302) 421-9960
Fax(302) 421-9970
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateMay 28, 2010
✔ NPI 1235229428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in DE · G1-0001124
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
707 FOULK RD, Wilmington, DE 19803
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Other Names 1

Professional Name (2)Dr. Shefali Pandya Dmd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Dr. Shefali Pandya Upadhyay Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19803 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
Most-billed visit code 99213
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 6

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

DR. JANE CHOUNG RUTLEDGE D.M.D.
Dentist (General Practice)
707 FOULK RD, SUITE 103
WILMINGTON, DE 19803
New Castle County (302) 654-1328
SHEFALI PANDYA, D.M.D., P.A.
Dentist
707 FOULK RD, SUITE 201
WILMINGTON, DE 19803
New Castle County (302) 421-9960
DR. DAVID LYON ISAACS DMD
Dentist
707 FOULK RD, SUITE 103
WILMINGTON, DE 19803
New Castle County (302) 654-1328
DELEWARE INJURY ASSOCIATES PA
Chiropractor
707 FOULK RD, SUITE 102
WILMINGTON, DE 19803
New Castle County (302) 332-1932
DR. GARY D SAFIAN D.D.S.
Dentist (General Practice)
707 FOULK RD, SUITE 203
WILMINGTON, DE 19803
New Castle County (302) 652-8656
GARY D. SAFIAN D.D.S.,P.A.
Dentist
707 FOULK RD, SUITE 203
WILMINGTON, DE 19803
New Castle County (302) 652-8656

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 Shefali Pandya Upadhyay's NPI number?

The NPI number for Shefali Pandya Upadhyay is 1235229428. It was assigned to this individual provider in the NPPES registry on October 16, 2006. The provider is also known as Dr. Shefali Pandya Dmd.

Where is Shefali Pandya Upadhyay located?

Shefali Pandya Upadhyay practices at 707 Foulk Rd Suite 201, Wilmington, DE 19803. The listed phone number is (302) 421-9960.

What is Shefali Pandya Upadhyay's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Shefali Pandya Upadhyay enrolled in Medicare?

Yes. Shefali Pandya Upadhyay is registered in the Medicare PECOS enrollment system.

What insurance does Shefali Pandya Upadhyay accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 3 other insurers list Shefali Pandya 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.

When was this NPI record last updated?

The NPPES record for Shefali Pandya Upadhyay was last updated on May 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.