ASHISH UPADHYAY MD
NPI 1376689919
Internal Medicine - Nephrology in Boston, MA

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
725 ALBANY ST, SHAPIRO 7, SUITE A, BOSTON, MA 02118(617) 414-8601(617) 414-8664 Get Directions Write a Review

NPPES record last updated: August 20, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ashish Upadhyay Md NPPES

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

ASHISH UPADHYAY MD (NPI 1376689919) is an individual nephrology provider in Boston, Massachusetts, licensed in Massachusetts (230690) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1376689919
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameASHISH UPADHYAYCredential: MD
Location Address725 ALBANY ST, SHAPIRO 7, SUITE ABoston, MA 02118-2526
Mailing Address720 Harrison Ave, Dob 503Boston, MA 02118-2371
Fax(617) 414-8664
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 30, 2007
Last NPPES UpdateAugust 20, 2014
NPI 1376689919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in MA · 230690
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 230690 (MA)
725 ALBANY ST, Boston, MA 02118

Other Identifiers 2

Medicaid110081669AMA
Medicare PIN001087902MA

Accepted 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

Ashish 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 ID7719037464
PECOS Enrollment IDI20090618000231
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 5

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.
89 services54 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
45 services11 patients
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.
36 services20 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.
22 services14 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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.

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.

Internal Medicine (Pulmonary Disease)
725 ALBANY ST, SHAPIRO 9, SUITE B
BOSTON, MA 02118
Urology
725 ALBANY ST, SUITE 3B
BOSTON, MA 02118
Psychiatry & Neurology (Neurology)
725 ALBANY ST, SHAPIRO 7TH FLOOR, SUITE 7B
BOSTON, MA 02118
Internal Medicine
725 ALBANY ST, SHAPIRO 5, SUITE A
BOSTON, MA 02118
Orthopaedic Surgery (Sports Medicine)
725 ALBANY ST, SUITE 4B
BOSTON, MA 02118
Internal Medicine (Rheumatology)
725 ALBANY ST, SHAPIRO 7, SUITE B
BOSTON, MA 02118
Internal Medicine
725 ALBANY ST, SHAPIRO 9B
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
725 ALBANY ST, SHAPIRO 5, SUITE 5
BOSTON, MA 02118

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 Ashish Upadhyay's NPI number?

The NPI number for Ashish Upadhyay is 1376689919. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Ashish Upadhyay located?

Ashish Upadhyay practices at 725 Albany St Shapiro 7, Suite A, Boston, MA 02118. The listed phone number is (617) 414-8601.

What is Ashish Upadhyay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ashish Upadhyay enrolled in Medicare?

Yes. Ashish 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 Ashish Upadhyay accept?

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

According to CMS data, Ashish Upadhyay is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Ashish Upadhyay was last updated on August 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.