ANUPAMA UPADHYAY M.D.
NPI 1467407890
Psychiatry & Neurology - Psychiatry in Dubuque, IA

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
1000 LANGWORTHY ST, DUBUQUE, IA 52001(563) 584-3500(563) 584-3520 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anupama Upadhyay M.d. NPPES

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

ANUPAMA UPADHYAY M.D. (NPI 1467407890) is an individual psychiatry provider in Dubuque, Iowa, licensed in Iowa (35340) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Cgh Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1467407890
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameANUPAMA UPADHYAYCredential: M.D.
Location Address1000 LANGWORTHY STDubuque, IA 52001-7313
Mailing Address1500 Associates DrDubuque, IA 52002-2201 · (563) 584-4100 · Fax (563) 584-4110
Fax(563) 584-3520
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateMay 24, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1467407890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in IA · 35340 Licensed in WI · 47601
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1000 LANGWORTHY ST, Dubuque, IA 52001

Other Identifiers 3

Medicare ID-Type UnspecifiedI16964IA
Medicare UPINI25267
Medicaid0478123IA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Anupama Upadhyay 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 ID3173576709
PECOS Enrollment IDI20070411000199
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.

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.
157 services81 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
130 services41 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
88 services84 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
24 services19 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.
14 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Cgh Medical Center

Acute Care Hospitals · Sterling, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140043
Location100 East Lefevre RoadSterling, IL 61081 · Whiteside County
Emergency services Birthing friendly

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52001 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
$161.40 typical visit price
range $52.96 – $161.40
Typical copayment $40.35 (range $13.24 – $40.35)
Most-billed visit code 99205
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

Physician Assistant
1000 LANGWORTHY ST
DUBUQUE, IA 52001
Nurse Practitioner
1000 LANGWORTHY ST
DUBUQUE, IA 52001
Nurse Practitioner
1000 LANGWORTHY ST
DUBUQUE, IA 52001
Internal Medicine (Cardiovascular Disease)
1000 LANGWORTHY ST
DUBUQUE, IA 52001
Surgery
1000 LANGWORTHY ST
DUBUQUE, IA 52001
Internal Medicine
1000 LANGWORTHY ST
DUBUQUE, IA 52001
Nurse Practitioner
1000 LANGWORTHY ST
DUBUQUE, IA 52001
Otolaryngology
1000 LANGWORTHY ST
DUBUQUE, IA 52001

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 Anupama Upadhyay's NPI number?

The NPI number for Anupama Upadhyay is 1467407890. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Anupama Upadhyay located?

Anupama Upadhyay practices at 1000 Langworthy St, Dubuque, IA 52001. The listed phone number is (563) 584-3500.

What is Anupama Upadhyay's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Anupama Upadhyay enrolled in Medicare?

Yes. Anupama 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.

What insurance does Anupama Upadhyay accept?

Health plans from Aspirus Health Plan list Anupama 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 Anupama Upadhyay affiliated with any hospitals?

According to CMS data, Anupama Upadhyay is affiliated with Cgh Medical Center, Uw Health and Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Anupama Upadhyay was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.