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MANISHA UPADHYAY
NPI 1316443880
Internal Medicine in Chicago, IL

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
2900 N LAKE SHORE DR, CHICAGO, IL 60657(773) 665-3000 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2022, Jul 1, 2021 (2 updates tracked since 2021).

About Manisha Upadhyay NPPES

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

MANISHA UPADHYAY (NPI 1316443880) is an individual internal medicine provider in Chicago, Illinois, licensed in Indiana (01085480A) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Inc, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1316443880
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMANISHA UPADHYAY
Location Address2900 N LAKE SHORE DRChicago, IL 60657-5640
Mailing Address108 Eagle Ridge DrChatham, IL 62629-2006 · (312) 523-1045
Phone(773) 665-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 3, 2018
Last NPPES UpdateSeptember 20, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2022
✔ NPI 1316443880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01085480A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2900 N LAKE SHORE DR, Chicago, IL 60657
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Manisha 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 ID3375945314
PECOS Enrollment IDI20210713002105
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 4

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.

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.
330 services98 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.
266 services96 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
88 services82 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.
39 services36 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospitals Inc

Acute Care Hospitals · Gary, IN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150002
Location600 Grant StGary, IN 46402 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60657 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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.

MAX JESUS BUSTILLO OROZCO MD
Student in an Organized Health Care Education/Training Program
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Cook County (773) 665-3000
ROBERTA LUSKIN-HAWK MD
Internal Medicine (Infectious Disease)
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Cook County (773) 665-3261
DR. SANDRA SOLOMON M.D.
Pain Medicine (Interventional Pain Medicine)
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Cook County (773) 665-3000
DR. ILANA SCHIFFMAN M.D.
Family Medicine
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Cook County (773) 665-3000
NEAL FRANCIS DAVIS-RUPERTO AUD
Audiologist
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Cook County (773) 665-3184
SHADI JAFARIAN RD, LDN
Dietitian, Registered
2900 N LAKE SHORE DR, CLINICAL NUTRITION SERVICES
CHICAGO, IL 60657
Cook County (773) 665-3306
AHSANA ANJUM ISLAM DPM
Student in an Organized Health Care Education/Training Program
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Cook County (773) 665-3000
DR. YANIRA LAGOS ESCOTO MD
Internal Medicine
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Cook County (773) 665-6730

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 Manisha Upadhyay's NPI number?

The NPI number for Manisha Upadhyay is 1316443880. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Manisha Upadhyay located?

Manisha Upadhyay practices at 2900 N Lake Shore Dr, Chicago, IL 60657. The listed phone number is (773) 665-3000.

What is Manisha Upadhyay's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Manisha Upadhyay enrolled in Medicare?

Yes. Manisha 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 Manisha Upadhyay accept?

Health plans from CareSource list Manisha 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 Manisha Upadhyay affiliated with any hospitals?

According to CMS data, Manisha Upadhyay is affiliated with Methodist Hospitals Inc.

When was this NPI record last updated?

The NPPES record for Manisha Upadhyay was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.