DR. SHIVANCK UPADHYAY MBBS, MD
NPI 1376815647
Internal Medicine - Pulmonary Disease in Paterson, NJ

Active since February 02, 2012PECOS EnrolledAccepts Medicare Assignment
703 MAIN ST, PATERSON, NJ 07503(973) 754-2000(973) 754-3376 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 27, 2026, Apr 2, 2025, Feb 25, 2023 and 4 more (7 updates tracked since 2018).

About Dr. Shivanck Upadhyay Mbbs, Md NPPES

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

DR. SHIVANCK UPADHYAY MBBS, MD (NPI 1376815647) is an individual pulmonary disease provider in Paterson, New Jersey, licensed in New Jersey (25MA10446900) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1376815647
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SHIVANCK UPADHYAYCredential: MBBS, MD
Location Address703 MAIN STPaterson, NJ 07503-2621
Mailing Address703 Main St, Medicine DepartmentPaterson, NJ 07503-2621
Fax(973) 754-3376
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateFebruary 2, 2012
Last NPPES UpdateApril 27, 20267 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
NPI 1376815647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in NJ · 25MA10446900 Licensed in VA · 0101284367 Licensed in WI · 84972 Licensed in KY · 61005
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA10446900 (NJ), 84972 (WI)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 25MA10446900 (NJ)
703 MAIN ST, Paterson, NJ 07503

Secondary Practice Locations 4

Location 11 Medical Village DriveEdgewood, KY 41017-3403 · Phone (859) 757-2927
Location 21818 N Meade StAppleton, WI 54911-3454 · Phone (920) 731-4101
Location 3130 2nd StNeenah, WI 54956-2883 · Phone (920) 731-4101
Location 4618 Hospital RdTappahannock, VA 22560-5000 · Phone (804) 828-4635 · Fax (804) 443-6150

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

Dr. Shivanck Upadhyay Mbbs, 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 ID6002037371
PECOS Enrollment IDI20190131000075, I20250128004100
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
158 services73 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.
68 services47 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.
48 services36 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
45 services26 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.
40 services39 patients

Hospital Affiliations CMS Care Compare

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

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07503 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Pediatrics (Neonatal-Perinatal Medicine)
703 MAIN ST
PATERSON, NJ 07503
Pediatrics (Neonatal-Perinatal Medicine)
703 MAIN ST
PATERSON, NJ 07503
Pediatrics (Neonatal-Perinatal Medicine)
703 MAIN ST
PATERSON, NJ 07503
Pediatrics (Neonatal-Perinatal Medicine)
703 MAIN ST
PATERSON, NJ 07503
Pediatrics (Neonatal-Perinatal Medicine)
703 MAIN ST
PATERSON, NJ 07503
Pediatrics (Neonatal-Perinatal Medicine)
703 MAIN ST
PATERSON, NJ 07503
Pediatrics (Neonatal-Perinatal Medicine)
703 MAIN ST
PATERSON, NJ 07503
Pediatrics (Pediatric Critical Care Medicine)
703 MAIN ST
PATERSON, NJ 07503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376815647, enumerated as an "individual" on February 02, 2012.

The provider is located at 703 MAIN ST PATERSON, NJ 07503 and the phone number is (973) 754-2000.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.

Shivanck Upadhyay is affiliated with: ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC.