1. Home
  2. Directory
  3. New Jersey
  4. Eatontown
  5. Internal Medicine
  6. NPI Profile

DR. RAJIV UPPAL M.D.
NPI 1508804345
Internal Medicine - Gastroenterology in Eatontown, NJ

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
97.45/100
CMS Quality Rating
142 ROUTE 35, EATONTOWN, NJ 07724(732) 389-5004(732) 389-1850 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rajiv Uppal M.d. NPPES

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

DR. RAJIV UPPAL M.D. (NPI 1508804345) is an individual gastroenterology provider in Eatontown, New Jersey, licensed in New Jersey (MA48200) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1508804345
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RAJIV UPPALCredential: M.D.
Location Address142 ROUTE 35Eatontown, NJ 07724-3427
Mailing Address142 Route 35 SEatontown, NJ 07724-1876 · (732) 389-1744 · Fax (732) 389-1850
Phone(732) 389-5004
Fax(732) 389-1850
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJune 3, 2006
Last NPPES UpdateOctober 23, 2007
✔ NPI 1508804345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NJ · MA48200
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

142 ROUTE 35, Eatontown, NJ 07724
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN549155C1JNJ
Medicare UPINE37759
Medicaid5001102NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. Rajiv Uppal 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 ID3274516661
PECOS Enrollment IDI20050420000233
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 8

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.

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.
74 services68 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
50 services49 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
41 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services32 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
25 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07724 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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.

97.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

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.

ADVANCED ENDOSCOPY & SURGICAL CENTER LLC
Clinic/Center (Ambulatory Surgical)
142 ROUTE 35, SUITE 101
EATONTOWN, NJ 07724
Monmouth County (732) 935-0031
KIMBERLY TALLIA NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
142 ROUTE 35, SUITE 103
EATONTOWN, NJ 07724
Monmouth County (732) 389-5004
NEW JERSEY HPB SURGERY, LLC
Surgery
142 ROUTE 35
EATONTOWN, NJ 07724
Monmouth County (732) 380-9200
DR. ROBERT PAUL FERRARIS D.M.D.
Dentist
142 ROUTE 35
EATONTOWN, NJ 07724
Monmouth County (732) 389-1144

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 Rajiv Uppal's NPI number?

The NPI number for Rajiv Uppal is 1508804345. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Rajiv Uppal located?

Rajiv Uppal practices at 142 Route 35, Eatontown, NJ 07724. The listed phone number is (732) 389-5004.

What is Rajiv Uppal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Rajiv Uppal enrolled in Medicare?

Yes. Rajiv Uppal 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 Rajiv Uppal accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Rajiv Uppal 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 Rajiv Uppal was last updated on October 23, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.