SANJAY UPADHYAY M.D.
NPI 1538350053
Family Medicine in Philadelphia, PA

Active since August 08, 2007PECOS Enrolled
1741 FRANKFORD AVE, SUITE 100A, PHILADELPHIA, PA 19125(215) 425-2424(215) 425-0342 Get Directions Write a Review

NPPES record last updated: May 30, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 30, 2017, May 9, 2017 (2 updates tracked since 2017).

About Sanjay Upadhyay M.d. NPPES

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

SANJAY UPADHYAY M.D. (NPI 1538350053) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD460862) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1538350053
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSANJAY UPADHYAYCredential: M.D.
Location Address1741 FRANKFORD AVE, SUITE 100APhiladelphia, PA 19125-2445
Mailing Address2450 W Hunting Park Ave, 2nd Floor TpiPhiladelphia, PA 19129-1302 · (215) 926-9022 · Fax (215) 226-8286
Fax(215) 425-0342
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 8, 2007
Last NPPES UpdateMay 30, 20172 updates tracked since enumeration
NPI 1538350053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in PA · MD460862 Licensed in NY · 253746
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1741 FRANKFORD AVE, Philadelphia, PA 19125

Other Identifiers 2

OtherMD460862PA · License Number
Other253746NY · License#

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sanjay Upadhyay M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668657685
PECOS Enrollment IDI20110506000005, I20170616001844
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 27

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.
257 services186 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.
180 services151 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
172 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
167 services167 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
143 services22 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
138 services123 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19125 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 11

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

Orthopaedic Surgery
1741 FRANKFORD AVE, SUITE 100-F
PHILA, PA 19125
Family Medicine
1741 FRANKFORD AVE, SUITE 100A
PHILA, PA 19125
Obstetrics & Gynecology
1741 FRANKFORD AVE, SUITE 100B
PHILADELPHIA, PA 19125
Family Medicine
1741 FRANKFORD AVE, SUITE 100A
PHILADELPHIA, PA 19125
Internal Medicine (Cardiovascular Disease)
1741 FRANKFORD AVE, SUITE 100-E
PHILA, PA 19125
Internal Medicine
1741 FRANKFORD AVE, SUITE 100A
PHILADELPHIA, PA 19125
Internal Medicine (Gastroenterology)
1741 FRANKFORD AVE, SUITE 100C
PHILADELPHIA, PA 19125
Family Medicine
1741 FRANKFORD AVE, SUITE 100-A
PHILADELPHIA, PA 19125

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 Sanjay Upadhyay's NPI number?

The NPI number for Sanjay Upadhyay is 1538350053. It was assigned to this individual provider in the NPPES registry on August 8, 2007.

Where is Sanjay Upadhyay located?

Sanjay Upadhyay practices at 1741 Frankford Ave Suite 100A, Philadelphia, PA 19125. The listed phone number is (215) 425-2424.

What is Sanjay Upadhyay's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sanjay Upadhyay enrolled in Medicare?

Yes. Sanjay Upadhyay is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sanjay Upadhyay was last updated on May 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.