NITESH UPADHYAY MD
NPI 1841499217
Internal Medicine - Critical Care Medicine in Gastonia, NC
About Nitesh Upadhyay Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NITESH UPADHYAY MD (NPI 1841499217) is an individual critical care medicine provider in Gastonia, North Carolina, licensed in North Carolina (2018-01681) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 3
Accepted 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
Nitesh Upadhyay 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.
Medicare Billing Reassignment
Medicare enrollment records show Nitesh Upadhyay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gastonia, NC 28054
- Reassigned Medicare billing, North Carolina enrollment
- 673 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Caromont Regional Medical Center
Acute Care Hospitals · Gastonia, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Nitesh Upadhyay's NPI number?
The NPI number for Nitesh Upadhyay is 1841499217. It was assigned to this individual provider in the NPPES registry on July 16, 2007.
Where is Nitesh Upadhyay located?
Nitesh Upadhyay practices at 2525 Court Dr, Gastonia, NC 28054. The listed phone number is (704) 834-2000.
What is Nitesh Upadhyay's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Nitesh Upadhyay enrolled in Medicare?
Yes. Nitesh 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 organization bills Medicare for Nitesh Upadhyay's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nitesh Upadhyay reassigns Medicare benefits to Caromont Medical Group Inc (Gastonia, NC). The 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 Nitesh Upadhyay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nitesh Upadhyay accept?
Health plans from Cigna Healthcare, First Choice Next and Oscar Health Plan of North Carolina, Inc list Nitesh 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 Nitesh Upadhyay affiliated with any hospitals?
According to CMS data, Nitesh Upadhyay is affiliated with Caromont Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Nitesh Upadhyay was last updated on June 30, 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.
# Nitesh Upadhyay, MD · NPI 1841499217
Critical Care Medicine physician in Gastonia, North Carolina. Individual provider, active in the CMS NPPES registry since July 16, 2007.
## Identity
- **NPI:** 1841499217 (Entity type: Individual)
- **Enumerated:** July 16, 2007
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 2018-01681 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2525 COURT DR, Gastonia, NC 28054-2140
- **Phone:** (704) 834-2000 · **Fax:** (704) 834-2500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Caromont Medical Group Inc (NPI 1073891719, Gastonia, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** June 30, 2022
- **Other identifiers:** Medicaid 515874 (SC); Medicaid 1841499217 (SC); Medicaid 1841499217 (IA)
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Source: [NPI Profile](https://npiprofile.com/npi/1841499217) · Data from the CMS NPPES public registry.