1. Home
  2. Directory
  3. Pennsylvania
  4. Canonsburg
  5. Nurse Practitioner
  6. NPI Profile

MANISHA UPADHAYA
NPI 1750033809
Nurse Practitioner - Family in Canonsburg, PA

Active since January 20, 2022PECOS Enrolled
2200 HILL CHURCH HOUSTON RD, CANONSBURG, PA 15317(724) 745-8000 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2026, Mar 12, 2025, May 6, 2024 and 2 more (5 updates tracked since 2022).

About Manisha Upadhaya NPPES

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

MANISHA UPADHAYA (NPI 1750033809) is an individual family provider in Canonsburg, Pennsylvania, licensed in Pennsylvania (SP025595) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Washington Hospital, The, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750033809
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMANISHA UPADHAYA
Location Address2200 HILL CHURCH HOUSTON RDCanonsburg, PA 15317-1454
Mailing Address6136 170th St Apt M4Fresh Meadows, NY 11365-1957 · (718) 709-0940
Phone(724) 745-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 20, 2022
Last NPPES UpdateAugust 20, 20265 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1750033809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in PA · SP025595✔ Licensed in VA · 0024197820✔ Licensed in KY · 4030395✔ Licensed in OH · 0038273✔ Licensed in MI · 4704453277
2200 HILL CHURCH HOUSTON RD, Canonsburg, PA 15317
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1460 S College StWoodburn, KY 42170-9738 · Phone (412) 253-3644
Location 2209 Merriman RdAkron, OH 44303-1904 · Phone (412) 253-3644

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manisha Upadhaya is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709263403
PECOS Enrollment IDI20220518003064, I20260706002381, I20260911003607
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

13

Medicare enrollment records show Manisha Upadhaya reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ahn Emergency Group Of Jefferson Ltd
15 mi
Emergency Medicine
565 COAL VALLEY RD
Jefferson Hills, PA 15025
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 66 clinicians in this Medicare group
NPI 1235518499 (330) 493-4443
Ahn Observation Group LLC
15 mi
Emergency Medicine
565 COAL VALLEY RD
Jefferson Hills, PA 15025
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 153 clinicians in this Medicare group
NPI 1437814696 (844) 474-4019
Wound Med LLC
110 mi
Nursing Care
3550 NORTHFIELD RD
Shaker Heights, OH 44122
  • Reassigned Medicare billing, Ohio enrollment
  • 50 clinicians in this Medicare group
NPI 1790521060 (216) 752-5600
Caremed Health Solutions Of Kentucky, LLC
180 mi
Multi-Specialty
1820 OAKVIEW RD
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky enrollment
  • 75 clinicians in this Medicare group
NPI 1326789462 (845) 521-9991
Caremed PA PC
183 mi
Family
1022 N UNION ST
Middletown, PA 17057
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 15 clinicians in this Medicare group
NPI 1891540431 (717) 944-0491
Ch Mssp Services Mi PLLC
207 mi
Internal Medicine
400 RENAISSANCE CTR STE 2600
Detroit, MI 48243
  • Reassigned Medicare billing, Michigan enrollment
  • 80 clinicians in this Medicare group
NPI 1609569169 (337) 408-0797
Curana Health Of Michigan PLLC
207 mi
Internal Medicine
400 RENAISSANCE CTR STE 2600
Detroit, MI 48243
  • Reassigned Medicare billing, Michigan enrollment
  • 78 clinicians in this Medicare group
NPI 1659921278 (337) 408-0797
Ch Specialty Services VA LLC
227 mi
Internal Medicine
10900 NUCKOLS RD STE 110
Glen Allen, VA 23060
  • Reassigned Medicare billing, District of Columbia enrollment
  • 58 clinicians in this Medicare group
NPI 1538868435 (337) 408-0797
Curana Health Of Virginia LLC
227 mi
Internal Medicine
10900 NUCKOLS RD STE 110
Glen Allen, VA 23060
  • Reassigned Medicare billing, District of Columbia enrollment
  • 61 clinicians in this Medicare group
NPI 1578085155 (337) 991-9276
Ch Specialty Services PA PC
249 mi
Internal Medicine
526 N SAINT CLOUD ST # 1601
Allentown, PA 18104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 120 clinicians in this Medicare group
NPI 1295438547 (337) 408-0797

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 9

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
755 services144 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
559 services94 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
294 services71 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
80 services43 patients
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453
Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.
64 services64 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
61 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Washington Hospital, The

Acute Care Hospitals · Washington, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390042
Location155 Wilson AvenueWashington, PA 15301 · Washington County
Emergency services Birthing friendly

St Clair Hospital

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390228
Location1000 Bower Hill RoadPittsburgh, PA 15243 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15317 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY PAUL FILIPPONI DPT
Physical Therapist
2200 HILL CHURCH HOUSTON RD
CANONSBURG, PA 15317
Washington County (724) 745-8000
GREENERY OPERATING LLC
Skilled Nursing Facility
2200 HILL CHURCH HOUSTON RD
CANONSBURG, PA 15317
Washington County (724) 745-8000
THI OF PENNSYLVANIA AT GREENERY OF CANONSBURG LLC
Skilled Nursing Facility
2200 HILL CHURCH HOUSTON RD
CANONSBURG, PA 15317
Washington County (724) 745-8000
BRIAN DAVID MCPEAKE
Physical Therapy Assistant
2200 HILL CHURCH HOUSTON RD
CANONSBURG, PA 15317
Washington County (724) 745-8000
JILL KOGELMANN
Occupational Therapist
2200 HILL CHURCH HOUSTON RD
CANONSBURG, PA 15317
Washington County (724) 745-8000
DAVID D TENNENT III
Occupational Therapist
2200 HILL CHURCH HOUSTON RD
CANONSBURG, PA 15317
Washington County (724) 745-8000

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 Manisha Upadhaya's NPI number?

The NPI number for Manisha Upadhaya is 1750033809. It was assigned to this individual provider in the NPPES registry on January 20, 2022.

Where is Manisha Upadhaya located?

Manisha Upadhaya practices at 2200 Hill Church Houston Rd, Canonsburg, PA 15317. The listed phone number is (724) 745-8000.

What is Manisha Upadhaya's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Manisha Upadhaya enrolled in Medicare?

Yes. Manisha Upadhaya is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Manisha Upadhaya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manisha Upadhaya reassigns Medicare benefits to 13 organizations: Ahn Emergency Group Of Jefferson Ltd (Jefferson Hills, PA), Ahn Observation Group LLC (Jefferson Hills, PA), Wound Med LLC (Shaker Heights, OH), Caremed Health Solutions Of Kentucky, LLC (Ashland, KY), Caremed PA PC (Middletown, PA) and 8 more organizations, listed in the Medicare section above. 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 Manisha Upadhaya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Manisha Upadhaya accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Cigna Healthcare list Manisha Upadhaya 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 Manisha Upadhaya affiliated with any hospitals?

According to CMS data, Manisha Upadhaya is affiliated with Washington Hospital, The and St Clair Hospital.

When was this NPI record last updated?

The NPPES record for Manisha Upadhaya was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.