SAJAL NATH UPRETY MD
NPI 1629592233
Hospitalist in New Castle, PA

Q: What is Sajal Uprety's NPI number?

The NPI number for Sajal Uprety is 1629592233. It was assigned to this individual provider in the NPPES registry on July 26, 2017.

Q: What is Sajal Uprety's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Sajal Uprety was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 26, 2017PECOS EnrolledAccepts Medicare Assignment

77.5/100

CMS Quality Rating

1211 WILMINGTON AVE, NEW CASTLE, PA 16105(724) 658-9001 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 26, 2023, Mar 17, 2018, Jul 26, 2017 (3 updates tracked since 2017).

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About Sajal Nath Uprety Md NPPES

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

SAJAL NATH UPRETY MD (NPI 1629592233) is an individual hospitalist provider in New Castle, Pennsylvania, licensed in Pennsylvania (MD470788) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Upmc Passavant, and maintains a secondary practice location in Mckeesport.

NPPES Registry Identity

NPI1629592233

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameSAJAL NATH UPRETYCredential: MD

Location Address1211 WILMINGTON AVENew Castle, PA 16105-2516

Mailing Address1211 Wilmington AveNew Castle, PA 16105-2516 · (724) 658-9001

Phone(724) 658-9001

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 26, 2017

Last NPPES UpdateJanuary 26, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2023

✔ NPI 1629592233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in PA · MD470788

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT212835 (PA)

1211 WILMINGTON AVE, New Castle, PA 16105

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Secondary Practice Location 1

Location 11500 Fifth AveMcKeesport, PA 15132-2422 · Phone (412) 664-2000

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

Sajal Nath Uprety 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 ID1557623337

PECOS Enrollment IDI20200715002181

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

355 services143 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

94 services90 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

46 services25 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

40 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390107

Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County

Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390114

Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16105 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

77.5/100

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

Scored as part of a group practice

Quality

68.61

Promoting Interoperability

100

Improvement Activities

Cost

56.4

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.

KIMBERLY ROTUNNA RN

Internal Medicine (Obesity Medicine)

1211 WILMINGTON AVE
NEW CASTLE, PA 16105

Lawrence County (724) 674-6052

UPMC COMMUNITY PROVIDER SERVICES

Pharmacy (Community/Retail Pharmacy)

1211 WILMINGTON AVE
NEW CASTLE, PA 16105

Lawrence County (724) 656-4650

MARCOS GUILHERME CUNHA CRUVINEL MD

Anesthesiology

1211 WILMINGTON AVE
NEW CASTLE, PA 16105

Lawrence County (724) 658-9001

LINDA VAN EMAN NP-C

Nurse Practitioner (Family)

1211 WILMINGTON AVE
NEW CASTLE, PA 16105

Lawrence County (724) 658-9001

AMY AULT PHARMD

Pharmacist

1211 WILMINGTON AVE
NEW CASTLE, PA 16105

Lawrence County (724) 656-4650

ERIKA THOMAS PA-C

Physician Assistant (Medical)

1211 WILMINGTON AVE
NEW CASTLE, PA 16105

Lawrence County (724) 658-9001

NEW CASTLE INFECTIOUS DISEASES LLC

Internal Medicine (Infectious Disease)

1211 WILMINGTON AVE, JAMESON HOSPITAL
NEW CASTLE, PA 16105

Lawrence County (724) 933-0193

UPMC JAMESON

Psychiatric Unit

1211 WILMINGTON AVE
NEW CASTLE, PA 16105

Lawrence County (724) 656-4100

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 Sajal Uprety's NPI number?

The NPI number for Sajal Uprety is 1629592233. It was assigned to this individual provider in the NPPES registry on July 26, 2017.

Where is Sajal Uprety located?

Sajal Uprety practices at 1211 Wilmington Ave, New Castle, PA 16105. The listed phone number is (724) 658-9001.

What is Sajal Uprety's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sajal Uprety enrolled in Medicare?

Yes. Sajal Uprety 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.

Is Sajal Uprety affiliated with any hospitals?

According to CMS data, Sajal Uprety is affiliated with Upmc Passavant and Magee Womens Hospital Of Upmc Health System.

When was this NPI record last updated?

The NPPES record for Sajal Uprety was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.