ANKIT B UPADHYAY MD
NPI 1376934059
Internal Medicine - Cardiovascular Disease in Sunnyside, WA

Active since February 17, 2015PECOS EnrolledAccepts Medicare Assignment
1016 TACOMA AVE, SUNNYSIDE, WA 98944(509) 837-1500(509) 837-4908 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2026, Jul 7, 2025, Jun 27, 2024 and 1 more (4 updates tracked since 2022).

About Ankit B Upadhyay Md NPPES

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

ANKIT B UPADHYAY MD (NPI 1376934059) is an individual cardiovascular disease provider in Sunnyside, Washington, licensed in Washington (MD61210673) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, is affiliated with Astria Toppenish Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1376934059
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameANKIT B UPADHYAYCredential: MD
Location Address1016 TACOMA AVESunnyside, WA 98944-2263
Mailing Address8900 Van Wyck ExpyJamaica, NY 11418-2832 · (718) 206-7708
Fax(509) 837-4908
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 17, 2015
Last NPPES UpdateJanuary 20, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
NPI 1376934059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in WA · MD61210673 Licensed in VA · 0101281686 Licensed in FL · ME176516 Licensed in TX · Q8376
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1016 TACOMA AVE, Sunnyside, WA 98944

Other Identifiers 1

Medicaid2258793WA

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

Ankit B 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 ID3779977152
PECOS Enrollment IDI20241009004493
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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
48 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Astria Toppenish Hospital

Acute Care Hospitals · Toppenish, WA
OwnershipVoluntary non-profit - Private
CMS Certification Number500037
Location502 W Fourth AveToppenish, WA 98948 · Yakima County
Emergency services

Astria Sunnyside Hospital

Critical Access Hospitals · Sunnyside, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number501330
Location1016 Tacoma AvenueSunnyside, WA 98944 · Yakima County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98944 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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.

Nurse Anesthetist, Certified Registered
1016 TACOMA AVE, SUNNYSIDE COMMUNITY HOSPITAL
SUNNYSIDE, WA 98944
Nurse Practitioner (Family)
1016 TACOMA AVE
SUNNYSIDE, WA 98944
Nurse Anesthetist, Certified Registered
1016 TACOMA AVE
SUNNYSIDE, WA 98944
Hospitalist
1016 TACOMA AVE
SUNNYSIDE, WA 98944
Emergency Medicine
1016 TACOMA AVE
SUNNYSIDE, WA 98944
Nurse Anesthetist, Certified Registered
1016 TACOMA AVE
SUNNYSIDE, WA 98944
Internal Medicine (Interventional Cardiology)
1016 TACOMA AVE
SUNNYSIDE, WA 98944
Nurse Practitioner (Family)
1016 TACOMA AVE
SUNNYSIDE, WA 98944

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 Ankit Upadhyay's NPI number?

The NPI number for Ankit Upadhyay is 1376934059. It was assigned to this individual provider in the NPPES registry on February 17, 2015.

Where is Ankit Upadhyay located?

Ankit Upadhyay practices at 1016 Tacoma Ave, Sunnyside, WA 98944. The listed phone number is (509) 837-1500.

What is Ankit Upadhyay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ankit Upadhyay enrolled in Medicare?

Yes. Ankit 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 Ankit Upadhyay accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Imperial Insurance Companies, Inc. and Providence Health Plan list Ankit 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 Ankit Upadhyay affiliated with any hospitals?

According to CMS data, Ankit Upadhyay is affiliated with Astria Toppenish Hospital and Astria Sunnyside Hospital.

When was this NPI record last updated?

The NPPES record for Ankit Upadhyay was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.