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MR. SHASHANK UPADHYAY D.O.
NPI 1396162558
Emergency Medicine in Rockville, MD

Active since March 26, 2014PECOS Enrolled
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850(240) 826-6000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 17, 2017 (3 updates tracked since 2017).

About Mr. Shashank Upadhyay D.o. NPPES

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

MR. SHASHANK UPADHYAY D.O. (NPI 1396162558) is an individual emergency medicine provider in Rockville, Maryland, licensed in Maryland (H0083207) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in El Paso.

NPPES Registry Identity

NPI1396162558
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMR. SHASHANK UPADHYAYCredential: D.O.
Location Address9901 MEDICAL CENTER DRRockville, MD 20850-3357
Mailing Address2399 Bellarosa CirWest Palm Beach, FL 33411-1473 · (561) 310-0814
Phone(240) 826-6000
Sole ProprietorYes
Enumeration DateMarch 26, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1396162558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MD · H0083207
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9901 MEDICAL CENTER DR, Rockville, MD 20850
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Secondary Practice Location 1

Location 14801 Alberta AveEl Paso, TX 79905-2707 · Phone (915) 545-7345 · Fax (915) 545-7338

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Shashank Upadhyay D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.
263 services256 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
225 services218 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
55 services55 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
30 services26 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.
20 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20850 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

LOGAN HEWITT LMSW LGSM
Social Worker
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Montgomery County (240) 826-6000
DR. SHERRY CHANG PHARM.D.
Pharmacist (Pharmacotherapy)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Montgomery County (301) 294-0612
RAKESH MAKADIA M.D
Internal Medicine
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Montgomery County (240) 826-6000
MESFIN WOLDESENBET M.D.
Pediatrics (Neonatal-Perinatal Medicine)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Montgomery County (240) 826-7392
FABIAN PADRON PA-C
Physician Assistant (Surgical)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Montgomery County (240) 826-6000
SANDRA ST JEAN
Counselor (Professional)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Montgomery County (240) 826-6000
DR. ANUJA RASTOGI M.D.
Pediatrics
9901 MEDICAL CENTER DR, PEDIATRIC FLOOR
ROCKVILLE, MD 20850
Montgomery County (240) 826-6480
NICOLE MARIE EDWARDS PA-C
Physician Assistant (Medical)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Montgomery County (586) 703-4476

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 Shashank Upadhyay's NPI number?

The NPI number for Shashank Upadhyay is 1396162558. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Where is Shashank Upadhyay located?

Shashank Upadhyay practices at 9901 Medical Center Dr, Rockville, MD 20850. The listed phone number is (240) 826-6000.

What is Shashank Upadhyay's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Shashank Upadhyay enrolled in Medicare?

Yes. Shashank Upadhyay is registered in the Medicare PECOS enrollment system.

What insurance does Shashank Upadhyay accept?

Health plans from Molina Healthcare list Shashank 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.

When was this NPI record last updated?

The NPPES record for Shashank Upadhyay was last updated on July 21, 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.