DR. GAUTHAM KADIYALI UPADHYA MD, MPH
NPI 1447633805
Specialist/Technologist Cardiovascular - Cardiovascular Invasive Specialist in Staten Island, NY

Q: What is Gautham Upadhya's NPI number?

The NPI number for Gautham Upadhya is 1447633805. It was assigned to this individual provider in the NPPES registry on July 2, 2015.

Q: What is Gautham Upadhya's specialty?

The primary specialty registered for this NPI is Specialist/Technologist Cardiovascular, specializing in Cardiovascular Invasive Specialist, with taxonomy code 246XC2901X.

Q: When was this NPI record last updated?

The NPPES record for Gautham Upadhya was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since July 02, 2015PECOS EnrolledAccepts Medicare Assignment

66.8/100

CMS Quality Rating

1161 VICTORY BLVD, STATEN ISLAND, NY 10301(718) 818-7425(855) 448-7807 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2025, Jun 11, 2019, Sep 14, 2018 (3 updates tracked since 2018).

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About Dr. Gautham Kadiyali Upadhya Md, Mph NPPES

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

DR. GAUTHAM KADIYALI UPADHYA MD, MPH (NPI 1447633805) is an individual cardiovascular invasive specialist in Staten Island, New York and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Richmond University Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1447633805

Entity TypeIndividualMale

Primary Taxonomy246XC2901X

Provider Legal NameDR. GAUTHAM KADIYALI UPADHYACredential: MD, MPH

Location Address1161 VICTORY BLVDStaten Island, NY 10301-3621

Mailing Address1161 Victory BlvdStaten Island, NY 10301-3621 · (718) 818-7425 · Fax (855) 448-7807

Phone(718) 818-7425

Fax(855) 448-7807

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 2, 2015

Last NPPES UpdateFebruary 3, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2025

✔ NPI 1447633805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist Cardiovascular · Cardiovascular Invasive SpecialistTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246XC2901X

Definition

A cardiovascular sonography technologist operates special equipment to create images and conduct tests of the cardiovascular system. They work with physicians who view the images and test results to assess and diagnose medical conditions.

Also ListedInternal MedicineTaxonomy 207R00000X · License 294581 (NY)

1161 VICTORY BLVD, Staten Island, NY 10301

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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 Kadiyali Upadhya Md, Mph 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 ID7517218365

PECOS Enrollment IDI20180918003897

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 Reassignments

Medicare enrollment records show Gautham Upadhya reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advantagecare Physicians PC

0.3 mi

Internal Medicine

1050 CLOVE RD, UCC
Staten Island, NY 10301

Reassigned Medicare billing, New York enrollment
724 clinicians in this Medicare group

NPI 1063954113 (646) 680-1525

Amboy Medical Practice PC

1.3 mi

Diagnostic Radiology

355 BARD AVE
Staten Island, NY 10310

Reassigned Medicare billing, New York enrollment
305 clinicians in this Medicare group

NPI 1104692672 (718) 818-1234

Brookdale Family Care Center, Inc.

7.9 mi

Internal Medicine

1095 FLATBUSH AVE
Brooklyn, NY 11226

Reassigned Medicare billing, New York enrollment
102 clinicians in this Medicare group

NPI 1962459644 (718) 240-8800

Brookdale Hospital Medical Center

8.8 mi

General Acute Care Hospital

1 BROOKDALE PLZ STE 666
Brooklyn, NY 11212

Reassigned Medicare billing, New York enrollment
782 clinicians in this Medicare group

NPI 1720028772 (718) 240-8352

Urban Strategies Brookdale Family Care Center Inc

11 mi

Family Medicine

1873 EASTERN PKWY
Brooklyn, NY 11233

Reassigned Medicare billing, New York enrollment
67 clinicians in this Medicare group

NPI 1215984422 (718) 240-8700

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 9

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.

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.

395 services317 patients

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.

134 services133 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

107 services73 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

104 services85 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

80 services55 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

66 services65 patients

Hospital Affiliations CMS Care Compare 2

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

Richmond University Medical Center

Acute Care Hospitals · Staten Island, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330028

Location355 Bard AvenueStaten Island, NY 10310 · Richmond County

Emergency services Birthing friendly

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330160

Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

66.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

83.27

Promoting Interoperability

0.55

Improvement Activities

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHMOND HEALTH PARTNERS IPA LLC

Family Medicine

1161 VICTORY BLVD
STATEN ISLAND, NY 10301

Richmond County (718) 818-1161

ARTHY YOGA MD

Surgery

1161 VICTORY BLVD
STATEN ISLAND, NY 10301

Richmond County (718) 818-1160

ALI SALMAN M.D.

Internal Medicine (Cardiovascular Disease)

1161 VICTORY BLVD
STATEN ISLAND, NY 10301

Richmond County (718) 818-7449

MARISA ANNE LETHEBY MSN, FNP-C, FNP-BC

Nurse Practitioner

1161 VICTORY BLVD
STATEN ISLAND, NY 10301

Richmond County (718) 818-1162

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 Upadhya's NPI number?

The NPI number for Gautham Upadhya is 1447633805. It was assigned to this individual provider in the NPPES registry on July 2, 2015.

Where is Gautham Upadhya located?

Gautham Upadhya practices at 1161 Victory Blvd, Staten Island, NY 10301. The listed phone number is (718) 818-7425.

What is Gautham Upadhya's specialty?

The primary specialty registered for this NPI is Specialist/Technologist Cardiovascular, specializing in Cardiovascular Invasive Specialist, with taxonomy code 246XC2901X.

Is Gautham Upadhya enrolled in Medicare?

Yes. Gautham Upadhya 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 Gautham Upadhya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gautham Upadhya reassigns Medicare benefits to 5 organizations: Advantagecare Physicians PC (Staten Island, NY), Amboy Medical Practice PC (Staten Island, NY), Brookdale Family Care Center, Inc. (Brooklyn, NY), Brookdale Hospital Medical Center (Brooklyn, NY) and Urban Strategies Brookdale Family Care Center Inc (Brooklyn, NY). 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 Gautham Upadhya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Gautham Upadhya affiliated with any hospitals?

According to CMS data, Gautham Upadhya is affiliated with Richmond University Medical Center and Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Gautham Upadhya was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.