DR. SHIVANCK UPADHYAY MBBS, MD
NPI 1376815647
Internal Medicine - Pulmonary Disease in Paterson, NJ
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
Specialties & Licenses 3
Secondary Practice Locations 4
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
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.
Medicare Billing Reassignments
15Medicare enrollment records show Shivanck Upadhyay reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Paterson, NJ 07503
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: St Josephs Healthcare Inc
- 372 clinicians in this Medicare group
Paterson, NJ 07503
- Reassigned Medicare billing, New Jersey enrollment
- 317 clinicians in this Medicare group
Newburgh, NY 12550
- Reassigned Medicare billing, New York enrollment
- 110 clinicians in this Medicare group
Richmond, VA 23298
- Reassigned Medicare billing, Virginia enrollment
- 2,481 clinicians in this Medicare group
Highland Heights, KY 41076
- Reassigned Medicare billing, Kentucky enrollment
- 946 clinicians in this Medicare group
Manitowoc, WI 54220
- Reassigned Medicare billing, Wisconsin enrollment
- 350 clinicians in this Medicare group
Menomonee Falls, WI 53051
- Reassigned Medicare billing, Wisconsin enrollment
- 2,294 clinicians in this Medicare group
Menasha, WI 54952
- Reassigned Medicare billing, Wisconsin and New York enrollments
- Also billed through NPI 1376656959 (New York)
- 988 clinicians in this Medicare group
Iola, WI 54945
- Reassigned Medicare billing, Wisconsin enrollment
- 935 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, New York enrollment
- 5 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 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.
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, NJPhysician 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.
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.
PATERSON, NJ 07503
PATERSON, NJ 07503
PATERSON, NJ 07503
PATERSON, NJ 07503
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 Shivanck Upadhyay's NPI number?
The NPI number for Shivanck Upadhyay is 1376815647. It was assigned to this individual provider in the NPPES registry on February 2, 2012.
Where is Shivanck Upadhyay located?
Shivanck Upadhyay practices at 703 Main St, Paterson, NJ 07503. The listed phone number is (973) 754-2000.
What is Shivanck Upadhyay's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Shivanck Upadhyay enrolled in Medicare?
Yes. Shivanck 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 Shivanck Upadhyay's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shivanck Upadhyay reassigns Medicare benefits to 15 organizations: St. Joseph's Healthcare, Inc. (Paterson, NJ), St Josephs Medical Group PC (Paterson, NJ), Critical Care Physician Of New York PC (Newburgh, NY), Mcv Associated Physicians (Richmond, VA), Summit Medical Group, Inc. (Highland Heights, KY) and 10 more organizations, listed in the Medicare section above. 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 Shivanck Upadhyay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shivanck Upadhyay accept?
Health plans from Aspirus Health Plan, CareSource, CareSource (Common Ground Healthcare) and Oscar Health list Shivanck 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 Shivanck Upadhyay affiliated with any hospitals?
According to CMS data, Shivanck Upadhyay is affiliated with St Joseph's University Medical Center Inc.
When was this NPI record last updated?
The NPPES record for Shivanck Upadhyay was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Dr. Shivanck Upadhyay, MBBS, MD · NPI 1376815647
Pulmonary Disease physician in Paterson, New Jersey. Individual provider, active in the CMS NPPES registry since February 2, 2012.
## Identity
- **NPI:** 1376815647 (Entity type: Individual)
- **Enumerated:** February 2, 2012
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 25MA10446900 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 703 MAIN ST, Paterson, NJ 07503-2621
- **Phone:** (973) 754-2000 · **Fax:** (973) 754-3376
## 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:** 15 organizations under Medicare reassignment (form CMS-855R): St. Joseph's Healthcare, Inc. (NPI 1497791297, Paterson, NJ); St Josephs Medical Group PC (NPI 1205425519, Paterson, NJ); Critical Care Physician Of New York PC (NPI 1316293954, Newburgh, NY); Mcv Associated Physicians (NPI 1710959457, Richmond, VA); Summit Medical Group, Inc. (NPI 1881026169, Highland Heights, KY); and 10 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** April 27, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1376815647) · Data from the CMS NPPES public registry.