Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIRAN K UPADHYAY MD
NPI 1588831291
Pediatrics - Pediatric Nephrology in Gainesville, FL

Q: What is Kiran Upadhyay's NPI number?

The NPI number for Kiran Upadhyay is 1588831291. It was assigned to this individual provider in the NPPES registry on May 12, 2008.

Q: What is Kiran Upadhyay's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Q: When was this NPI record last updated?

The NPPES record for Kiran Upadhyay was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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 May 12, 2008PECOS EnrolledAccepts Medicare Assignment

78.18/100

CMS Quality Rating

1600 SW ARCHER RD, BOX 100296, GAINESVILLE, FL 32610(352) 265-7999 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Kiran K Upadhyay Md NPPES

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

KIRAN K UPADHYAY MD (NPI 1588831291) is an individual pediatric nephrology provider in Gainesville, Florida, licensed in Florida (ME116049) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and maintains a secondary practice location in Valhalla.

NPPES Registry Identity

NPI1588831291

Entity TypeIndividualMale

Primary Taxonomy2080P0210X

Provider Legal NameKIRAN K UPADHYAYCredential: MD

Location Address1600 SW ARCHER RD, BOX 100296Gainesville, FL 32610-0296

Mailing AddressPo Box 100296Gainesville, FL 32610-0296

Phone(352) 265-7999

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMay 12, 2008

Last NPPES UpdateJuly 15, 2026

NPPES CertifiedJuly 15, 2026

✔ NPI 1588831291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0210X

Licenses✔ Licensed in FL · ME116049✔ Licensed in NY · 263848

Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

1600 SW ARCHER RD, Gainesville, FL 32610

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Secondary Practice Location 1

Location 1100 Woods RdValhalla, NY 10595-1530 · Phone (914) 614-4140

Other Identifiers 3

Medicaid008874100FL

Medicaid201029000IN

Medicaid7100170360KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Kiran K Upadhyay Md 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 ID6002084472

PECOS Enrollment IDI20130626000752

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.

Hospital Affiliations CMS Care Compare

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

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100113

Location1600 SW Archer RdGainesville, FL 32610 · Alachua County

Emergency services Birthing friendly

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.

78.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.54

Promoting Interoperability

100

Improvement Activities

Cost

54.74

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

9 suppliers31 claims6,127 services$0.31 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

6 suppliers28 claims10,200 services$0.01 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

6 suppliers25 claims2,766 services$0.18 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

9 suppliers35 claims35 services$17.93 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

10 suppliers63 claims64 services$11.48 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. BAHAREH EBADIFAR KEITH DO

Pediatrics

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-0462

AFRASYAB KHAN

Surgery

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 265-0680

GULSUN ERDAG MD

Pathology (Anatomic Pathology & Clinical Pathology)

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 265-9900

DR. ALBERT H. MATTIA D.D.S.

Dentist (Prosthodontics)

1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610

Alachua County (352) 273-5801

JOANNA CHAFFIN

Pathology (Anatomic Pathology & Clinical Pathology)

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 627-9272

DR. CASEY JUSTIN BEAL MD

Ophthalmology

1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610

Alachua County (352) 273-8778

WILLIAM CRAIG HICKS CRNA

Nurse Anesthetist, Certified Registered

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-6438

HENRY FONTILLAS PATALINGHUG CRNA

Nurse Anesthetist, Certified Registered

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-6438

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 Kiran Upadhyay's NPI number?

The NPI number for Kiran Upadhyay is 1588831291. It was assigned to this individual provider in the NPPES registry on May 12, 2008.

Where is Kiran Upadhyay located?

Kiran Upadhyay practices at 1600 SW Archer Rd Box 100296, Gainesville, FL 32610. The listed phone number is (352) 265-7999.

What is Kiran Upadhyay's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Kiran Upadhyay enrolled in Medicare?

Yes. Kiran 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 Kiran Upadhyay accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kiran 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 Kiran Upadhyay affiliated with any hospitals?

According to CMS data, Kiran Upadhyay is affiliated with Uf Health Shands Hospital.

When was this NPI record last updated?

The NPPES record for Kiran Upadhyay was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.