RUTUL UPADHYAY DO
NPI 1851975858
Internal Medicine in New Hyde Park, NY

Active since May 06, 2021PECOS EnrolledAccepts Medicare Assignment
27005 76TH AVE, NEW HYDE PARK, NY 11040(718) 470-3377 Get Directions Write a Review

NPPES record last updated: September 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 2, 2024, May 6, 2021 (2 updates tracked since 2021).

About Rutul Upadhyay Do NPPES

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

RUTUL UPADHYAY DO (NPI 1851975858) is an individual internal medicine provider in New Hyde Park, New York, licensed in New York (328206) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1851975858
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRUTUL UPADHYAYCredential: DO
Location Address27005 76TH AVENew Hyde Park, NY 11040-1402
Mailing Address27005 76th AveNew Hyde Park, NY 11040-1402 · (718) 470-3377
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 6, 2021
Last NPPES UpdateSeptember 2, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2024
NPI 1851975858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 328206
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.

27005 76TH AVE, New Hyde Park, NY 11040

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

Rutul Upadhyay Do 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 ID4183167604
PECOS Enrollment IDI20240625000665
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
94 services33 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.
57 services17 patients
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.
16 services16 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11040 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 20

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

Anesthesiology
27005 76TH AVE
NEW HYDE PARK, NY 11040
Anesthesiology
27005 76TH AVE
NEW HYDE PARK, NY 11040
Anesthesiology
27005 76TH AVE
NEW HYDE PARK, NY 11040
Anesthesiology
27005 76TH AVE
NEW HYDE PARK, NY 11040
Anesthesiology
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nurse Anesthetist, Certified Registered
27005 76TH AVE
NEW HYDE PARK, NY 11040
Anesthesiology
27005 76TH AVE
NEW HYDE PARK, NY 11040
Anesthesiology
27005 76TH AVE
NEW HYDE PARK, NY 11040

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 Rutul Upadhyay's NPI number?

The NPI number for Rutul Upadhyay is 1851975858. It was assigned to this individual provider in the NPPES registry on May 6, 2021.

Where is Rutul Upadhyay located?

Rutul Upadhyay practices at 27005 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-3377.

What is Rutul Upadhyay's specialty?

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

Is Rutul Upadhyay enrolled in Medicare?

Yes. Rutul 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.

Is Rutul Upadhyay affiliated with any hospitals?

According to CMS data, Rutul Upadhyay is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Rutul Upadhyay was last updated on September 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.