KENIL UPADHYAY
NPI 1619602265
Family Medicine in Marion, IN

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since July 19, 2022PECOS EnrolledAccepts Medicare Assignment

441 N WABASH AVE, MARION, IN 46952(765) 660-7005 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 20, 2025, Jul 19, 2022 (2 updates tracked since 2022).

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About Kenil Upadhyay NPPES

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

KENIL UPADHYAY (NPI 1619602265) is an individual family medicine provider in Marion, Indiana, licensed in Indiana (01096928A) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619602265

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKENIL UPADHYAY

Location Address441 N WABASH AVEMarion, IN 46952-2612

Mailing Address441 N Wabash AveMarion, IN 46952-2612 · (765) 660-7005

Phone(765) 660-7005

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 19, 2022

Last NPPES UpdateJune 20, 20252 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1619602265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IN · 01096928A✔ Licensed in PA · MT225665

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.

441 N WABASH AVE, Marion, IN 46952

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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

Kenil Upadhyay 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 ID9830606524

PECOS Enrollment IDI20250728002931

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.

Marion General Hospital

Acute Care Hospitals · Marion, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150011

Location441 N Wabash AveMarion, IN 46952 · Grant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46952 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

CLIFFORD J SCHOER MD

Anesthesiology