DR. MADHAV PRAKASH UPADHYAYA M.D.
NPI 1861751034
Nuclear Medicine - Nuclear Cardiology in Tinton Falls, NJ
About Dr. Madhav Prakash Upadhyaya M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MADHAV PRAKASH UPADHYAYA M.D. (NPI 1861751034) is an individual nuclear cardiology provider in Tinton Falls, New Jersey, licensed in New Jersey (25MA11208100) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 5
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. Madhav Prakash Upadhyaya M.d. 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 Reassignments
5Medicare enrollment records show Madhav Upadhyaya reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Neptune, NJ 07753
- Reassigned Medicare billing, New Jersey enrollment
- 101 clinicians in this Medicare group
Neptune, NJ 07753
- Reassigned Medicare billing, New Jersey enrollment
- 29 clinicians in this Medicare group
Haddon Heights, NJ 08035
- Reassigned Medicare billing, New Jersey enrollment
- 91 clinicians in this Medicare group
Bogalusa, LA 70427
- Reassigned Medicare billing, Louisiana enrollment
- 4,559 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 45
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverview Medical Center
Acute Care Hospitals · Red Bank, NJOcean Medical Center
Acute Care Hospitals · Brick, NJJersey Shore University Medical Center
Acute Care Hospitals · Neptune, NJBayshore Medical Center
Acute Care Hospitals · Holmdel, NJSouthern Ocean Medical Center
Acute Care Hospitals · Manahawkin, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07701 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TINTON FALLS, NJ 07701
TINTON FALLS, NJ 07701
TINTON FALLS, NJ 07701
TINTON FALLS, NJ 07701
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 Madhav Upadhyaya's NPI number?
The NPI number for Madhav Upadhyaya is 1861751034. It was assigned to this individual provider in the NPPES registry on May 9, 2012.
Where is Madhav Upadhyaya located?
Madhav Upadhyaya practices at 21 N Gilbert St, Tinton Falls, NJ 07701. The listed phone number is (732) 542-7600.
What is Madhav Upadhyaya's specialty?
The primary specialty registered for this NPI is Nuclear Medicine, specializing in Nuclear Cardiology, with taxonomy code 207UN0901X.
Is Madhav Upadhyaya enrolled in Medicare?
Yes. Madhav 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 Madhav Upadhyaya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madhav Upadhyaya reassigns Medicare benefits to 5 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), Meridian Cardiovascular Interpretive Services PC (Neptune, NJ), Shore Heart Group, PA (Neptune, NJ), Cardiovascular Associates Of The Delaware Valley,p A (Haddon Heights, NJ) and Ochsner Clinic LLC (Bogalusa, LA). 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 Madhav Upadhyaya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Madhav Upadhyaya affiliated with any hospitals?
According to CMS data, Madhav Upadhyaya is affiliated with Riverview Medical Center, Ocean Medical Center, Jersey Shore University Medical Center, Bayshore Medical Center and Southern Ocean Medical Center.
When was this NPI record last updated?
The NPPES record for Madhav Upadhyaya was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.