NITESH UPADHYAY MD
NPI 1841499217
Internal Medicine - Critical Care Medicine in Gastonia, NC

Active since July 16, 2007PECOS EnrolledAccepts Medicare Assignment
2525 COURT DR, GASTONIA, NC 28054(704) 834-2000(704) 834-2500 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Feb 22, 2018, Nov 27, 2017 (3 updates tracked since 2017).

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

NPI1841499217
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameNITESH UPADHYAYCredential: MD
Location Address2525 COURT DRGastonia, NC 28054-2140
Mailing AddressPo Box 744786Atlanta, GA 30374-4786 · (704) 834-2450 · Fax (704) 671-5331
Fax(704) 834-2500
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 16, 2007
Last NPPES UpdateJune 30, 20223 updates tracked since enumeration
NPPES CertifiedJune 13, 2022
NPI 1841499217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in NC · 2018-01681
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 39967 (IA), 036130450 (IL)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 51587 (SC)
2525 COURT DR, Gastonia, NC 28054

Other Identifiers 3

Medicaid515874SC
Medicaid1841499217SC
Medicaid1841499217IA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID6709041676
PECOS Enrollment IDI20220728001534
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.

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
303 services198 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
15 services13 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
15 services15 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
12 services11 patients

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, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

Physician 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.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Emergency Medicine
2525 COURT DR
GASTONIA, NC 28054
Physician Assistant
2525 COURT DR
GASTONIA, NC 28054
Nurse Anesthetist, Certified Registered
2525 COURT DR
GASTONIA, NC 28054
General Acute Care Hospital
2525 COURT DR
GASTONIA, NC 28054
Anesthesiology
2525 COURT DR
GASTONIA, NC 28054
Internal Medicine
2525 COURT DR
GASTONIA, NC 28054
Nurse Practitioner (Family)
2525 COURT DR
GASTONIA, NC 28054
Nurse Practitioner (Acute Care)
2525 COURT DR
GASTONIA, NC 28054

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.

What insurance does Nitesh Upadhyay accept?

Health plans from First Choice Next 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.