MR. KANCHAN PRASAD UPADHYAY MD
NPI 1265463061
Internal Medicine - Hematology & Oncology in Leesville, LA

Q: What is Kanchan Upadhyay's NPI number?

The NPI number for Kanchan Upadhyay is 1265463061. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is Kanchan Upadhyay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Kanchan Upadhyay was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment

90.43/100

CMS Quality Rating

931 VERONE TER, LEESVILLE, LA 71446(337) 238-3475(337) 238-3617 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 10, 2020, Jan 30, 2019 (2 updates tracked since 2019).

On this page

About Mr. Kanchan Prasad Upadhyay Md NPPES

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

MR. KANCHAN PRASAD UPADHYAY MD (NPI 1265463061) is an individual hematology & oncology provider in Leesville, Louisiana, licensed in Louisiana (13173R) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Christus St Frances Cabrini Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1265463061

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameMR. KANCHAN PRASAD UPADHYAYCredential: MD

Location Address931 VERONE TERLeesville, LA 71446-4255

Mailing Address1000 N 5th StLeesville, LA 71446-2901 · (337) 238-3475 · Fax (337) 238-3617

Phone(337) 238-3475

Fax(337) 238-3617

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateJuly 6, 2006

Last NPPES UpdateMarch 10, 20202 updates tracked since enumeration

NPPES CertifiedMarch 10, 2020

✔ NPI 1265463061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in LA · 13173R

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

931 VERONE TER, Leesville, LA 71446

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Other Identifiers 5

Medicaid1578924LA

Other260053101LA · Mailhandler

Other260053101LA · Tricare

Other36-00370LA · United Health Care

Other260053101LA · State Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

Mr. Kanchan Prasad 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 ID3072693456

PECOS Enrollment IDI20101228000856

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.

Medicare Billing Reassignments

Medicare enrollment records show Kanchan Upadhyay reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vernon Internal Medicine Clinic Inc

Same address

Hematology & Oncology

931 VERONE TER, SUITE A
Leesville, LA 71446

Reassigned Medicare billing, Louisiana enrollment

NPI 1306878350 (337) 238-3475

Mary Bird Perkins Cancer Center

138 mi

Clinical Medical Laboratory

4950 ESSEN LANE
Baton Rouge, LA 70809

Reassigned Medicare billing, Louisiana enrollment
120 clinicians in this Medicare group

NPI 1295833580 (225) 215-1223

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 25

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.

Injection, ferric carboxymaltose, 1 mg J1439

Ferric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.

30,750 services16 patients

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

7,980 services56 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

1,248 services338 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.

1,167 services318 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

1,140 services30 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

1,021 services317 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

890 services285 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.

270 services97 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

226 services47 patients

Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less 96367

This procedure involves injecting fluids or medication directly into your vein. It's used for treatment, prevention, or diagnosis. An additional sequential infusion may be given within an hour if needed. This helps to ensure the medicine is distributed effectively in your body.

225 services34 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

208 services62 patients

Infusion, normal saline solution, sterile (500 ml = 1 unit) J7040

An infusion of a normal saline solution is a common medical procedure. Sterile saline (salt water) is administered into your bloodstream via a drip. This helps to maintain fluid balance in your body, especially when you're unable to drink enough liquids.

192 services42 patients

Infusion into a vein for hydration, each additional hour 96361

This procedure involves delivering fluids directly into your vein to keep your body hydrated. It is typically done when oral hydration is insufficient. Each additional hour means more fluid is infused to ensure adequate hydration.

178 services39 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

164 services19 patients

Injection, zoledronic acid, 1 mg J3489

Zoledronic acid is a medication given via injection to strengthen bones. It's often used in patients with osteoporosis or certain types of cancer. The injection helps reduce the risk of fractures and other bone complications.

133 services21 patients

Administration of chemotherapy into vein, each additional hour 96415

Chemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.

66 services11 patients

Injection of additional new drug or substance into vein 96375

This procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.

55 services12 patients

Irrigation of implanted venous access drug delivery device 96523

Irrigation of an implanted venous access drug delivery device is a procedure to clean or unblock the device. This device is implanted under your skin to allow easy, frequent, and long-term access to your veins for medication delivery. The process involves flushing the device with a sterile solution to ensure it works properly.

54 services14 patients

Drawing of blood for a medical problem 99195

Drawing blood is a simple procedure where a needle is inserted into a vein, usually in your arm, to collect a small sample. This sample helps in diagnosing any medical issues you may have. You might feel a small prick, but overall, it's a quick and safe process.

51 services12 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.

36 services36 patients

Collection of blood sample from implanted device 36591

Collection of a blood sample from an implanted device involves drawing blood from a device placed under your skin. This device, often a port or catheter, allows easy access to your bloodstream. The procedure is usually quick and causes minimal discomfort.

33 services13 patients

Infusion, normal saline solution , 1000 cc J7030

An infusion of normal saline solution, 1000 cc, is a common medical procedure. It involves introducing a saltwater solution into your bloodstream via an intravenous (IV) line. This helps to hydrate your body, correct electrolyte imbalances, and deliver medications if needed.

33 services11 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.

27 services27 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.

17 services17 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Christus St Frances Cabrini Hospital

Acute Care Hospitals · Alexandria, LA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190019

Location3330 Masonic DriveAlexandria, LA 71301 · Rapides County

Emergency services Birthing friendly

Rapides Regional Medical Center

Acute Care Hospitals · Alexandria, LA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number190026

Location211 4th StreetAlexandria, LA 71301 · Rapides County

Emergency services Birthing friendly

Beauregard Memorial Hospital

Acute Care Hospitals · Deridder, LA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190050

Location600 S Pine StreetDeridder, LA 70634 · Beauregard County

Emergency services Birthing friendly

Byrd Regional Hospital

Acute Care Hospitals · Leesville, LA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number190164

Location1020 Fertitta BlvdLeesville, LA 71446 · Vernon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71446 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

$164.73 typical visit price

range $53.43 – $164.73

Typical copayment $41.18 (range $13.35 – $41.18)

Most-billed visit code 99205

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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.

90.43/100

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

Individually scored

Quality

74.4

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Advance Care Plan

7%527 patients1/55-star benchmark: 100%

Controlling High Blood Pressure

54%443 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

79%5,065 patients3/55-star benchmark: 100%

Oncology: Advance Care Planning in Metastatic Cancer Patients

33%33 patients2/55-star benchmark: 85%

Oncology: Medical and Radiation - Pain Intensity Quantified

83%531 patients4/55-star benchmark: 100%

Oncology: Medical and Radiation - Plan of Care for Pain

72%32 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

40%1,150 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%1,058 patients1/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 22% · 964 patients

Patients screened: 31% · 964 patients

0%83 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

85%737 patients3/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

1%560 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

KELLIE BOURG PADDY A.P.R.N.

Nurse Practitioner (Adult Health)

931 VERONE TER
LEESVILLE, LA 71446

Vernon Parish (337) 404-1708

VERNON INTERNAL MEDICINE CLINIC INC

Internal Medicine (Hematology & Oncology)

931 VERONE TER, SUITE A
LEESVILLE, LA 71446

Vernon Parish (337) 238-3475

TRUPATH LABORATORY LLC

Clinical Medical Laboratory

931 VERONE TER, SUITE B
LEESVILLE, LA 71446

Vernon Parish (337) 238-9133

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 Kanchan Upadhyay's NPI number?

The NPI number for Kanchan Upadhyay is 1265463061. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Kanchan Upadhyay located?

Kanchan Upadhyay practices at 931 Verone Ter, Leesville, LA 71446. The listed phone number is (337) 238-3475.

What is Kanchan Upadhyay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Kanchan Upadhyay enrolled in Medicare?

Yes. Kanchan 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 organizations bill Medicare for Kanchan Upadhyay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kanchan Upadhyay reassigns Medicare benefits to 2 organizations: Vernon Internal Medicine Clinic Inc (Leesville, LA) and Mary Bird Perkins Cancer Center (Baton Rouge, LA). Each 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 Kanchan Upadhyay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kanchan Upadhyay accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 3 other insurers list Kanchan 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 Kanchan Upadhyay affiliated with any hospitals?

According to CMS data, Kanchan Upadhyay is affiliated with Christus St Frances Cabrini Hospital, Rapides Regional Medical Center, Beauregard Memorial Hospital and Byrd Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kanchan Upadhyay was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.