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DR. RAVI JYOTINDRA UPADHYAY M.D.
NPI 1720515547
Internal Medicine in Albany, NY

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment
315 S MANNING BLVD, ALBANY, NY 12208(518) 525-1550 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 19, 2022, Oct 12, 2021, May 11, 2017 (3 updates tracked since 2017).

About Dr. Ravi Jyotindra Upadhyay M.d. NPPES

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

DR. RAVI JYOTINDRA UPADHYAY M.D. (NPI 1720515547) is an individual internal medicine provider in Albany, New York, licensed in New York (311930) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with The University Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1720515547
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAVI JYOTINDRA UPADHYAYCredential: M.D.
Location Address315 S MANNING BLVDAlbany, NY 12208-1707
Mailing Address129 W 29th St Fl 10New York, NY 10001-5105 · (415) 658-6791 · Fax (415) 520-0904
Phone(518) 525-1550
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 11, 2017
Last NPPES UpdateAugust 19, 20223 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
✔ NPI 1720515547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 311930
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
315 S MANNING BLVD, Albany, NY 12208
Open in Google Maps ↗

Secondary Practice Locations 3

Location 125 Hudson StNew York, NY 10013-3919 · Phone (212) 441-4401 · Fax (212) 867-4353
Location 22215 Burdett AveTroy, NY 12180-2466 · Phone (518) 271-3300
Location 3150 Bergen StNewark, NJ 07103-2496 · Phone (973) 972-6056

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

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

Dr. Ravi Jyotindra Upadhyay 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 ID3072910405
PECOS Enrollment IDI20221107002356
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

5

Medicare enrollment records show Ravi Upadhyay reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Peter's Hospitalof The City Of Albany
Same address
General Acute Care Hospital
315 SOUTH MANNING BLVD, SUITE 6512
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Peters Hospital Of The City Of Albany
  • 623 clinicians in this Medicare group
NPI 1003981432 (518) 525-1304
Samaritan Hospital Of Troy, New York
8.5 mi
General Acute Care Hospital
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 725 clinicians in this Medicare group
NPI 1043267727 (518) 271-3300
Medical Associates Of Englewood, PC
121 mi
Internal Medicine
350 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 849 clinicians in this Medicare group
NPI 1952681918 (201) 608-2136
Newark Community Health Centers, Inc.
131 mi
Federally Qualified Health Center (FQHC)
741 BROADWAY
Newark, NJ 07104
  • Reassigned Medicare billing, New Jersey enrollment
  • 172 clinicians in this Medicare group
NPI 1740345693 (973) 483-1300
University Physician Associates Of New Jersey Inc
134 mi
Internal Medicine
140 BERGEN ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 173 clinicians in this Medicare group
NPI 1760492367 (973) 972-9000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.
44 services14 patients

Hospital Affiliations CMS Care Compare

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

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

ARUNIMA RAJBHANDARY MD
Hospitalist
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-1550
ST PETER'S LIFELINE
Emergency Response System Companies
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-6024
ABIGAIL N RUDASILL PHARM D
Pharmacist
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-1616
MARIA SOBIERAJ
Pharmacist
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 381-6325
NICOLETTA SERAFINA PACILLI PA
Physician Assistant
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-5634
DR. SAHAR AMERY M.D.
Hospitalist
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-1550
DAVID JAHANGIR MD
Radiology (Diagnostic Radiology)
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-1401
MRS. LYNN ANN CRAFT PA
Physician Assistant
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-5776

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 Ravi Upadhyay's NPI number?

The NPI number for Ravi Upadhyay is 1720515547. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Ravi Upadhyay located?

Ravi Upadhyay practices at 315 S Manning Blvd, Albany, NY 12208. The listed phone number is (518) 525-1550.

What is Ravi Upadhyay's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ravi Upadhyay enrolled in Medicare?

Yes. Ravi 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.

Which organizations bill Medicare for Ravi Upadhyay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ravi Upadhyay reassigns Medicare benefits to 5 organizations: St. Peter's Hospitalof The City Of Albany (Albany, NY), Samaritan Hospital Of Troy, New York (Troy, NY), Medical Associates Of Englewood, PC (Englewood, NJ), Newark Community Health Centers, Inc. (Newark, NJ) and University Physician Associates Of New Jersey Inc (Newark, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ravi Upadhyay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ravi Upadhyay accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Ravi 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 Ravi Upadhyay affiliated with any hospitals?

According to CMS data, Ravi Upadhyay is affiliated with The University Hospital.

When was this NPI record last updated?

The NPPES record for Ravi Upadhyay was last updated on August 19, 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.