DR. VANDAN DIPAK UPADHYAYA MD
NPI 1790279396
Internal Medicine - Interventional Cardiology in Bay Shore, NY

Q: What is Vandan Upadhyaya's NPI number?

The NPI number for Vandan Upadhyaya is 1790279396. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Q: What is Vandan Upadhyaya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Vandan Upadhyaya was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 18, 2018PECOS EnrolledAccepts Medicare Assignment

39 BRENTWOOD RD STE 101, BAY SHORE, NY 11706(631) 591-7400(631) 591-7401 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2026, Apr 7, 2025, Apr 24, 2024 and 1 more (4 updates tracked since 2018).

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About Dr. Vandan Dipak Upadhyaya Md NPPES

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

DR. VANDAN DIPAK UPADHYAYA MD (NPI 1790279396) is an individual interventional cardiology provider in Bay Shore, New York, licensed in New Jersey (25MA11137500) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Holy Family Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790279396

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. VANDAN DIPAK UPADHYAYACredential: MD

Location Address39 BRENTWOOD RD STE 101Bay Shore, NY 11706-8031

Mailing Address1945 State Route 33Neptune, NJ 07753-4859 · (732) 776-4483 · Fax (732) 776-4798

Phone(631) 591-7400

Fax(631) 591-7401

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 18, 2018

Last NPPES UpdateApril 6, 20264 updates tracked since enumeration

NPPES CertifiedApril 6, 2026

✔ NPI 1790279396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in NJ · 25MA11137500

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

39 BRENTWOOD RD STE 101, Bay Shore, NY 11706

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Secondary Practice Locations 2

Location 130 Prospect AveHackensack, NJ 07601-1915 · Phone (551) 996-3880 · Fax (551) 996-0949

Location 21945 State Route 33Neptune, NJ 07753-4859 · Phone (732) 776-4483 · Fax (732) 776-4798

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield.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. Vandan Dipak Upadhyaya 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 ID4082019195

PECOS Enrollment IDI20210826002221, I20260513002531

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

Medicare enrollment records show Vandan Upadhyaya reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore - Lij Medical PC

25 mi

Internal Medicine

270-05 76TH AVE
New Hyde Park, NY 11040

Reassigned Medicare billing, New York enrollment
9,353 clinicians in this Medicare group

NPI 1790043479 (516) 465-8089

Plover Inpatient Services LLC

51 mi

Emergency Medicine

1 BAY AVE
Montclair, NJ 07042

Reassigned Medicare billing, New Jersey enrollment
252 clinicians in this Medicare group

NPI 1134534688 (954) 939-5000

Hackensack Meridian Health Medical Group - Specialty Care PC

53 mi

Surgical Critical Care

331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701

Reassigned Medicare billing, New Jersey enrollment
2,844 clinicians in this Medicare group

NPI 1215989249 (732) 807-0800

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

66 services66 patients

Hospital Affiliations CMS Care Compare

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

Holy Family Hospital

Acute Care Hospitals · Methuen, MA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number220080

Location70 East StreetMethuen, MA 01844 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 4

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

DR. MATTHEW R. LIPPMANN DO

Internal Medicine (Cardiovascular Disease)

39 BRENTWOOD RD STE 101
BAY SHORE, NY 11706

Suffolk County (631) 590-7400

JESSICA DANIELLE FRASER PHYSICIAN ASSISTANT

Physician Assistant (Surgical)

39 BRENTWOOD RD STE 101
BAY SHORE, NY 11706

Suffolk County (631) 589-7400

LORIN MICHELLE BERMAN DO

Internal Medicine (Cardiovascular Disease)

39 BRENTWOOD RD STE 101
BAY SHORE, NY 11706

Suffolk County (631) 591-7400

DR. BASAVARAJ VEERANNA DESAI MD

Internal Medicine (Cardiovascular Disease)

39 BRENTWOOD RD STE 101
BAY SHORE, NY 11706

Suffolk County (631) 591-7400

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 Vandan Upadhyaya's NPI number?

The NPI number for Vandan Upadhyaya is 1790279396. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is Vandan Upadhyaya located?

Vandan Upadhyaya practices at 39 Brentwood Rd Ste 101, Bay Shore, NY 11706. The listed phone number is (631) 591-7400.

What is Vandan Upadhyaya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Vandan Upadhyaya enrolled in Medicare?

Yes. Vandan Upadhyaya 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 Vandan Upadhyaya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vandan Upadhyaya reassigns Medicare benefits to 3 organizations: North Shore - Lij Medical PC (New Hyde Park, NY), Plover Inpatient Services LLC (Montclair, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, 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 Vandan Upadhyaya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vandan Upadhyaya accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Anthem Blue Cross and Blue Shield list Vandan Upadhyaya 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 Vandan Upadhyaya affiliated with any hospitals?

According to CMS data, Vandan Upadhyaya is affiliated with Holy Family Hospital.

When was this NPI record last updated?

The NPPES record for Vandan Upadhyaya was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.