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DR. UPENDER GEHLOT M.D.
NPI 1376706531
Psychiatry & Neurology - Psychiatry in Norwalk, OH

Active since July 08, 2008PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
282 BENEDICT AVE STE C, NORWALK, OH 44857(419) 668-0311(419) 668-0312 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2022, Mar 17, 2018, Oct 19, 2017 (3 updates tracked since 2017).

About Dr. Upender Gehlot M.d. NPPES

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

DR. UPENDER GEHLOT M.D. (NPI 1376706531) is an individual psychiatry provider in Norwalk, Ohio, licensed in Ohio (99291) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Ohiohealth Mansfield Hospital, and maintains a secondary practice location in Norwalk.

NPPES Registry Identity

NPI1376706531
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. UPENDER GEHLOTCredential: M.D.
Location Address282 BENEDICT AVE STE CNorwalk, OH 44857-2712
Mailing Address282 Benedict Ave Ste CNorwalk, OH 44857-2712 · (419) 668-0311 · Fax (419) 668-0312
Phone(419) 668-0311
Fax(419) 668-0312
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 8, 2008
Last NPPES UpdateJanuary 25, 20223 updates tracked since enumeration
✔ NPI 1376706531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in OH · 99291✔ Licensed in NE · 25932
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
282 BENEDICT AVE STE C, Norwalk, OH 44857
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Secondary Practice Location 1

Location 1272 Benedict Ave, Med Park 3, Suite 950Norwalk, OH 44857-2374 · Phone (419) 668-0311 · Fax (419) 668-0312

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Dr. Upender Gehlot M.d. 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 ID2769669431
PECOS Enrollment IDI20120813000428
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

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 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.
59 services23 patients

Hospital Affiliations CMS Care Compare

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

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44857 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Other Providers at the Same Location NPPES 2

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

MS. CHRISTINA ALEXANDRIA SERRET MD
Pediatrics
282 BENEDICT AVE STE C
NORWALK, OH 44857
Huron County (330) 543-4970
MRS. MARY A PETERS MSN, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
282 BENEDICT AVE STE C
NORWALK, OH 44857
Huron County (419) 668-0311

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 Upender Gehlot's NPI number?

The NPI number for Upender Gehlot is 1376706531. It was assigned to this individual provider in the NPPES registry on July 8, 2008.

Where is Upender Gehlot located?

Upender Gehlot practices at 282 Benedict Ave Ste C, Norwalk, OH 44857. The listed phone number is (419) 668-0311.

What is Upender Gehlot's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Upender Gehlot enrolled in Medicare?

Yes. Upender Gehlot 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 Upender Gehlot accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Upender Gehlot 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 Upender Gehlot affiliated with any hospitals?

According to CMS data, Upender Gehlot is affiliated with Ohiohealth Mansfield Hospital.

When was this NPI record last updated?

The NPPES record for Upender Gehlot was last updated on January 25, 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.