ASTHA NARENDRAKUMAR UPADHYAYA MD
NPI 1447970181
Internal Medicine - Cardiovascular Disease in Birmingham, AL

Active since September 01, 2022PECOS EnrolledAccepts Medicare Assignment
1201 11TH AVE S, BIRMINGHAM, AL 35205(205) 930-7100 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 11, 2025, Sep 1, 2022 (2 updates tracked since 2022).

About Astha Narendrakumar Upadhyaya Md NPPES

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

ASTHA NARENDRAKUMAR UPADHYAYA MD (NPI 1447970181) is an individual cardiovascular disease provider in Birmingham, Alabama, licensed in Alabama (51103) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Denville, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1447970181
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameASTHA NARENDRAKUMAR UPADHYAYACredential: MD
Location Address1201 11TH AVE SBirmingham, AL 35205-3423
Mailing AddressPo Box 55310Birmingham, AL 35255-5310
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 1, 2022
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1447970181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in AL · 51103
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.
1201 11TH AVE S, Birmingham, AL 35205

Secondary Practice Location 1

Location 125 Pocono RdDenville, NJ 07834-2954 · Phone (973) 983-5583

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

Astha Narendrakumar Upadhyaya 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 ID345741823
PECOS Enrollment IDI20250827002431
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 Astha Upadhyaya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
1600 7TH AVE S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 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 35205 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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 Practitioner (Acute Care)
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Anesthesiology
1201 11TH AVE S
BIRMINGHAM, AL 35205
Nurse Practitioner (Family)
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse (Critical Care Medicine)
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205

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 Astha Upadhyaya's NPI number?

The NPI number for Astha Upadhyaya is 1447970181. It was assigned to this individual provider in the NPPES registry on September 1, 2022.

Where is Astha Upadhyaya located?

Astha Upadhyaya practices at 1201 11th Ave S, Birmingham, AL 35205. The listed phone number is (205) 930-7100.

What is Astha Upadhyaya's specialty?

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

Is Astha Upadhyaya enrolled in Medicare?

Yes. Astha Upadhyaya 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 Astha Upadhyaya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Astha Upadhyaya reassigns Medicare benefits to University Of Alabama Health Services Foundation, PC (Birmingham, AL). 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 Astha Upadhyaya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Astha Upadhyaya accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Astha Upadhyaya 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 Astha Upadhyaya was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.