ANKIT B UPADHYAY MD
NPI 1376934059
Internal Medicine - Cardiovascular Disease in Sunnyside, WA
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 maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 5
Other Identifiers 1
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
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.
Medicare Billing Reassignments
21Medicare enrollment records show Ankit Upadhyay reassigns Medicare billing to 21 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dolores, CO 81323
- Reassigned Medicare billing, Colorado enrollment
- 97 clinicians in this Medicare group
Stanley, WI 54768
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1356311252 (Wisconsin)
- 168 clinicians in this Medicare group
Gilman, WI 54433
- Reassigned Medicare billing, Wisconsin enrollment
- 376 clinicians in this Medicare group
Hurley, WI 54534
- Reassigned Medicare billing, Michigan enrollment
- 244 clinicians in this Medicare group
Ironwood, MI 49938
- Reassigned Medicare billing, Michigan enrollment
- 264 clinicians in this Medicare group
Medford, WI 54451
- Reassigned Medicare billing, Wisconsin and Michigan enrollments
- Medicare enrollment name: Aspirus Medical Group, Inc.
- Also billed through NPI 1568765550 (Michigan)
- 415 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 397 clinicians in this Medicare group
Woodruff, WI 54568
- Reassigned Medicare billing, Wisconsin enrollment
- 935 clinicians in this Medicare group
Woodruff, WI 54568
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Howard Young Medical Center Inc Of Woodruff Wisconsin
- 358 clinicians in this Medicare group
Ontonagon, MI 49953
- Reassigned Medicare billing, Michigan enrollment
- 210 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
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.
Astria Toppenish Hospital
Acute Care Hospitals · Toppenish, WAPhysician 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.
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.
SUNNYSIDE, WA 98944
SUNNYSIDE, WA 98944
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.
Which organizations bill Medicare for Ankit Upadhyay's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ankit Upadhyay reassigns Medicare benefits to 21 organizations: Southwest Health System, Inc. (Dolores, CO), Aspirus Stanley Hospital & Clinics, Inc. (Stanley, WI), Aspirus Medford Hospital & Clinics, Inc. (Gilman, WI), Aspirus Ironwood Hospital & Clinics, Inc. (Hurley, WI), Aspirus Ironwood Hospital & Clinics, Inc. (Ironwood, MI) and 16 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 Ankit Upadhyay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ankit Upadhyay accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Blue Cross and Blue Shield of Texas and 6 other insurers 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.
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 8 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.
# Ankit B Upadhyay, MD · NPI 1376934059
Cardiovascular Disease physician in Sunnyside, Washington. Individual provider, active in the CMS NPPES registry since February 17, 2015.
## Identity
- **NPI:** 1376934059 (Entity type: Individual)
- **Enumerated:** February 17, 2015
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** MD61210673 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1016 TACOMA AVE, Sunnyside, WA 98944-2263
- **Phone:** (509) 837-1500 · **Fax:** (509) 837-4908
## 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:** 21 organizations under Medicare reassignment (form CMS-855R): Southwest Health System, Inc. (NPI 1497279236, Dolores, CO); Aspirus Stanley Hospital & Clinics, Inc. (NPI 1053391730, Stanley, WI); Aspirus Medford Hospital & Clinics, Inc. (NPI 1285703173, Gilman, WI); Aspirus Ironwood Hospital & Clinics, Inc. (NPI 1154434249, Hurley, WI); Aspirus Ironwood Hospital & Clinics, Inc. (NPI 1609034099, Ironwood, MI); and 16 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** January 20, 2026
- **Other identifiers:** Medicaid 2258793 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1376934059) · Data from the CMS NPPES public registry.