MADAN UPRETY M.D.
NPI 1528109758
Psychiatry & Neurology - Psychiatry in Reston, VA

Q: What is Madan Uprety's NPI number?

The NPI number for Madan Uprety is 1528109758. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Q: What is Madan Uprety's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Madan Uprety was last updated on February 23, 2022. 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.

Active since February 09, 2007PECOS EnrolledAccepts Medicare Assignment

12359 SUNRISE VALLEY DR STE 320, RESTON, VA 20191(703) 596-4796 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Madan Uprety M.d. NPPES

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

MADAN UPRETY M.D. (NPI 1528109758) is an individual psychiatry provider in Reston, Virginia, licensed in Virginia (0101246930) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1528109758

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameMADAN UPRETYCredential: M.D.

Location Address12359 SUNRISE VALLEY DR STE 320Reston, VA 20191-3463

Mailing Address12359 Sunrise Valley Dr Ste 320Reston, VA 20191-3463 · (703) 596-4796

Phone(703) 596-4796

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateFebruary 9, 2007

Last NPPES UpdateFebruary 23, 2022

NPPES CertifiedFebruary 23, 2022

✔ NPI 1528109758 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 VA · 0101246930✔ Licensed in MD · D0068401✔ Licensed in WI · 48144

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.

12359 SUNRISE VALLEY DR STE 320, Reston, VA 20191

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Other Identifiers 1

Medicaid34667100WI

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

Madan Uprety 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 ID6406888163

PECOS Enrollment IDI20090203000270

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 Madan Uprety reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

My Psychiatrist LLC

Same address

Mental Health (Including Community Mental Health Center)

12359 SUNRISE VALLEY DR STE 320
Reston, VA 20191

Reassigned Medicare billing, District of Columbia and Virginia enrollments
21 clinicians in this Medicare group

NPI 1295048684 (703) 596-4796

Arman C. Moshyedi, MD, PLLC

7.5 mi

Psychiatry

8405 GREENSBORO DR STE 120
Mc Lean, VA 22102

Reassigned Medicare billing, District of Columbia and Virginia enrollments
17 clinicians in this Medicare group

NPI 1366005183 (855) 940-4867

County Of Trempealeau

808 mi

Skilled Nursing Facility

13197 CHURCH STREET
Pigeon Falls, WI 54760

Reassigned Medicare billing, Wisconsin enrollment
5 clinicians in this Medicare group

NPI 1467410670 (715) 538-4312

Aurora Counseling Centers Employee Support Systems, Inc.

852 mi

Professional

406 TECHNOLOGY DR E, SUITE C
Menomonie, WI 54751

Reassigned Medicare billing, Wisconsin enrollment
19 clinicians in this Medicare group

NPI 1437240868 (715) 235-4696

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 20191 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

$194.86 typical visit price

range $65.18 – $194.86

Typical copayment $48.71 (range $16.29 – $48.71)

Most-billed visit code 99205

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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 13

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

CROSSROAD CLINICS PLC

Psychiatry & Neurology (Psychiatry)