ANKUR UPADHYAY MD
NPI 1265964118
Psychiatry & Neurology - Psychiatry in Chesapeake, VA
About Ankur Upadhyay Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANKUR UPADHYAY MD (NPI 1265964118) is an individual psychiatry provider in Chesapeake, Virginia, licensed in New York (309488) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
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
Ankur 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 Reassignments
3Medicare enrollment records show Ankur Upadhyay reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newport News, VA 23607
- Reassigned Medicare billing, Virginia enrollment
- Medicare enrollment name: Riverside Physician Services Inc
- 1,097 clinicians in this Medicare group
Hagerstown, MD 21742
- Reassigned Medicare billing, Maryland enrollment
- 311 clinicians in this Medicare group
Montgomery, AL 36117
- Reassigned Medicare billing, Alabama enrollment
- 439 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Ankur Upadhyay's NPI number?
The NPI number for Ankur Upadhyay is 1265964118. It was assigned to this individual provider in the NPPES registry on March 30, 2017.
Where is Ankur Upadhyay located?
Ankur Upadhyay practices at 905 Country Club Blvd, Chesapeake, VA 23322. The listed phone number is (757) 572-4618.
What is Ankur Upadhyay's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Ankur Upadhyay enrolled in Medicare?
Yes. Ankur 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 Ankur Upadhyay's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ankur Upadhyay reassigns Medicare benefits to 3 organizations: Riverside Physcian Services Inc (Newport News, VA), Meritus Medical Center Inc (Hagerstown, MD) and The Health Care Authority For Baptist Health, An Affiliate Of Uabhs (Montgomery, AL). 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 Ankur Upadhyay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ankur Upadhyay accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Ankur 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 Ankur Upadhyay was last updated on January 20, 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.
# Ankur Upadhyay, MD · NPI 1265964118
Psychiatry physician in Chesapeake, Virginia. Individual provider, active in the CMS NPPES registry since March 30, 2017.
## Identity
- **NPI:** 1265964118 (Entity type: Individual)
- **Enumerated:** March 30, 2017
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 309488 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 905 COUNTRY CLUB BLVD, Chesapeake, VA 23322-8092
- **Phone:** (757) 572-4618
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Riverside Physcian Services Inc (NPI 1326603952, Newport News, VA); Meritus Medical Center Inc (NPI 1255199246, Hagerstown, MD); The Health Care Authority For Baptist Health, An Affiliate Of Uabhs (NPI 1720755770, Montgomery, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1265964118) · Data from the CMS NPPES public registry.