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DR. UPENDRA RAJ KAPHLE M.D
NPI 1497053755
Internal Medicine in Cleveland, OH

Active since March 09, 2011PECOS EnrolledAccepts Medicare Assignment
11100 EUCLID AVE, CLEVELAND, OH 44106(216) 844-8500 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 17, 2021, Sep 12, 2017 (2 updates tracked since 2017).

About Dr. Upendra Raj Kaphle M.d NPPES

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

DR. UPENDRA RAJ KAPHLE M.D (NPI 1497053755) is an individual internal medicine provider in Cleveland, Ohio, licensed in Ohio (35.096699) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1497053755
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. UPENDRA RAJ KAPHLECredential: M.D
Location Address11100 EUCLID AVECleveland, OH 44106-1716
Mailing Address24701 Euclid Ave, 3rd FloorEuclid, OH 44117-1714
Phone(216) 844-8500
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 9, 2011
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
✔ NPI 1497053755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OH · 35.096699✔ Licensed in LA · MD.206300
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11100 EUCLID AVE, Cleveland, OH 44106
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Other Identifiers 1

Medicaid3132792OH

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. Upendra Raj Kaphle 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 ID1951579994
PECOS Enrollment IDI20201116002631
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 Upendra Kaphle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
2,108 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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 44106 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

DR. YU HYON KIM MD
Ophthalmology
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-3601
JENNIFER LYNN PARRY RN, CPNP
Nurse Practitioner (Pediatrics)
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 983-5691
RAINBOW BABIES & CHILDREN'S HOSPITAL
General Acute Care Hospital (Children)
11100 EUCLID AVE, RBC 637
CLEVELAND, OH 44106
Cuyahoga County (216) 983-5261
DR. KA CHUN ALAN CHAN M.D
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Cuyahoga County (216) 844-1000
DR. CHOR CHEUNG TAM M.D.
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Cuyahoga County (216) 333-8948
DOMINIC CERCONE
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-1000
DR. CHRISTOPHER FELCHLIA MD
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-2273
GABRIELLA MARGUERITE RUSTIA MD
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-8570

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 Upendra Kaphle's NPI number?

The NPI number for Upendra Kaphle is 1497053755. It was assigned to this individual provider in the NPPES registry on March 9, 2011.

Where is Upendra Kaphle located?

Upendra Kaphle practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (216) 844-8500.

What is Upendra Kaphle's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Upendra Kaphle enrolled in Medicare?

Yes. Upendra Kaphle 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 Upendra Kaphle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Upendra Kaphle reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). 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 Upendra Kaphle'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 Upendra Kaphle was last updated on December 17, 2021. 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.