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MIRA UPADHYAYA M.D., M.P.H.
NPI 1730530171
Internal Medicine in Fair Lawn, NJ

Active since June 27, 2016PECOS Enrolled
22-18 BROADWAY, FAIR LAWN, NJ 07410(973) 321-2755 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 25, 2021, Jan 27, 2017, Jun 27, 2016 (3 updates tracked since 2016).

About Mira Upadhyaya M.d., M.p.h. NPPES

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

MIRA UPADHYAYA M.D., M.P.H. (NPI 1730530171) is an individual internal medicine provider in Fair Lawn, New Jersey, licensed in New Jersey (25MA10880000) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730530171
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMIRA UPADHYAYACredential: M.D., M.P.H.
Location Address22-18 BROADWAYFair Lawn, NJ 07410-3016
Mailing Address22-18 BroadwayFair Lawn, NJ 07410-3016 · (201) 475-5050 · Fax (201) 475-5522
Phone(973) 321-2755
Sole ProprietorNo
Enumeration DateJune 27, 2016
Last NPPES UpdateFebruary 25, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2021
✔ NPI 1730530171 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 NJ · 25MA10880000
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 ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License 25MA10880000 (NJ)
22-18 BROADWAY, Fair Lawn, NJ 07410
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mira Upadhyaya M.d., M.p.h. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Mira Upadhyaya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inhospital Physicians Corp Of New Jersey, PC
2.7 mi
Internal Medicine
96 PARKWAY
Rochelle Park, NJ 07662
  • Reassigned Medicare billing, New Jersey enrollment
  • 96 clinicians in this Medicare group
NPI 1336625425 (201) 221-2352
Medical Associates Of Englewood, PC
7.7 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

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 2

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.
45 services32 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.
37 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07410 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

COMPREHENSIVE SLEEP MANAGEMENT, LLC
Clinic/Center (Sleep Disorder Diagnostic)
22-18 BROADWAY, SUITE 103
FAIR LAWN, NJ 07410
Bergen County (201) 773-8185
MRS. NANCY P GALLAGHER ANP
Nurse Practitioner (Primary Care)
22-18 BROADWAY, SUITE 102
FAIR LAWN, NJ 07410
Bergen County (973) 256-5557
MALLORY ANNE SMALLZE
Nurse Practitioner
22-18 BROADWAY
FAIR LAWN, NJ 07410
Bergen County (201) 414-9840
MEREDITH CLAIRE LUBAS NP
Nurse Practitioner (Primary Care)
22-18 BROADWAY
FAIR LAWN, NJ 07410
Bergen County (201) 475-5050
RIMVIDA OBELENIENE MD FACC
Internal Medicine (Cardiovascular Disease)
22-18 BROADWAY
FAIRLAWN, NJ 07410
Bergen County (201) 475-5050
SNEHI SEHGAL KAPUR M.D.
Psychiatry & Neurology (Sleep Medicine)
22-18 BROADWAY, SUITE 103
FAIR LAWN, NJ 07410
Bergen County (201) 773-8185
MS. CATHERINE CARLTON APN
Nurse Practitioner (Adult Health)
22-18 BROADWAY, SUITE 201
FAIR LAWN, NJ 07410
Bergen County (201) 475-2050
ANDI QIPO M.D.
Hospitalist
22-18 BROADWAY, SUITE 201
FAIR LAWN, NJ 07410
Bergen County (973) 754-2770

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 Mira Upadhyaya's NPI number?

The NPI number for Mira Upadhyaya is 1730530171. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Mira Upadhyaya located?

Mira Upadhyaya practices at 22-18 Broadway, Fair Lawn, NJ 07410. The listed phone number is (973) 321-2755.

What is Mira Upadhyaya's specialty?

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

Is Mira Upadhyaya enrolled in Medicare?

Yes. Mira Upadhyaya is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mira Upadhyaya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mira Upadhyaya reassigns Medicare benefits to 2 organizations: Inhospital Physicians Corp Of New Jersey, PC (Rochelle Park, NJ) and Medical Associates Of Englewood, PC (Englewood, 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 Mira Upadhyaya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mira Upadhyaya was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.