DR. GAUTHAM VENKATA UPADRASTA M.D.
NPI 1427575562
Psychiatry & Neurology - Neurology in New York, NY

Active since August 29, 2017PECOS EnrolledAccepts Medicare Assignment
525 E 71ST ST, NEW YORK, NY 10021(212) 606-1050 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Gautham Venkata Upadrasta M.d. NPPES

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

DR. GAUTHAM VENKATA UPADRASTA M.D. (NPI 1427575562) is an individual neurology provider in New York, New York, licensed in New Jersey (25MA13042700) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1427575562
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. GAUTHAM VENKATA UPADRASTACredential: M.D.
Location Address525 E 71ST STNew York, NY 10021-4871
Mailing Address17 Evergreen CtOld Bridge, NJ 08857-3385
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 29, 2017
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1427575562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NJ · 25MA13042700
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
525 E 71ST ST, New York, NY 10021

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. Gautham Venkata Upadrasta M.d. 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 ID2860959921
PECOS Enrollment IDI20260807003313
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.

Medicare Billing Reassignment

Medicare enrollment records show Gautham Upadrasta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
651 WILLOW GROVE ST
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 429 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Specialist
525 E 71ST ST, SUITE 116
NEW YORK, NY 10021
Physical Therapist
525 E 71ST ST, BELAIRE BUILDING, GROUND FLOOR -SPORTS PHYSICAL THERAPY
NEW YORK, NY 10021
Physician Assistant (Surgical)
525 E 71ST ST
NEW YORK, NY 10021
Physical Therapist (Orthopedic)
525 E 71ST ST
NEW YORK, NY 10021
Physical Therapist
525 E 71ST ST
NEW YORK, NY 10021
Physical Therapist
525 E 71ST ST, BELAIRE BUILDING - GROUND FLOOR
NEW YORK, NY 10021
Specialist
525 E 71ST ST
NEW YORK, NY 10021
Internal Medicine (Rheumatology)
525 E 71ST ST, 7TH FLOOR
NEW YORK, NY 10021

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 Gautham Upadrasta's NPI number?

The NPI number for Gautham Upadrasta is 1427575562. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Where is Gautham Upadrasta located?

Gautham Upadrasta practices at 525 E 71st St, New York, NY 10021. The listed phone number is (212) 606-1050.

What is Gautham Upadrasta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Gautham Upadrasta enrolled in Medicare?

Yes. Gautham Upadrasta 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 organization bills Medicare for Gautham Upadrasta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gautham Upadrasta reassigns Medicare benefits to The Radiology Group Of New Jersey, LLC (Hackettstown, NJ). The 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 Gautham Upadrasta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gautham Upadrasta was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.