DR. MADHAV PRAKASH UPADHYAYA M.D.
NPI 1861751034
Nuclear Medicine - Nuclear Cardiology in Tinton Falls, NJ

Q: 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.

Q: What is Madhav Upadhyaya's specialty?

The primary specialty registered for this NPI is Nuclear Medicine, specializing in Nuclear Cardiology, with taxonomy code 207UN0901X.

Q: When was this NPI record last updated?

The NPPES record for Madhav Upadhyaya was last updated on August 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 09, 2012PECOS EnrolledAccepts Medicare Assignment

21 N GILBERT ST, TINTON FALLS, NJ 07701(732) 542-7600 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 22, 2024, Apr 8, 2019 (2 updates tracked since 2019).

On this page

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

NPI1861751034

Entity TypeIndividualMale

Primary Taxonomy207UN0901X

Provider Legal NameDR. MADHAV PRAKASH UPADHYAYACredential: M.D.

Location Address21 N GILBERT STTinton Falls, NJ 07701-4950

Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429

Phone(732) 542-7600

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMay 9, 2012

Last NPPES UpdateAugust 22, 20242 updates tracked since enumeration

NPPES CertifiedAugust 22, 2024

✔ NPI 1861751034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNuclear Medicine · Nuclear CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207UN0901X

License✔ Licensed in NJ · 25MA11208100

Definition

A nuclear medicine physician who specializes in nuclear cardiology.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036.138533 (IL), 303003 (LA)

21 N GILBERT ST, Tinton Falls, NJ 07701

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Secondary Practice Locations 5

Location 135 Beaverson Blvd Ste 9BBrick, NJ 08723-7862 · Phone (732) 262-4262 · Fax (732) 262-4317

Location 21820 State Route 33 Ste 4BNeptune, NJ 07753-4860 · Phone (732) 776-8500 · Fax (732) 776-8946

Location 31 Hwy 35Keyport, NJ 07735-1166 · Phone (732) 360-6333 · Fax (732) 888-8225

Location 4115 E Bay AveManahawkin, NJ 08050-3109 · Phone (609) 971-3300 · Fax (609) 597-4656

Location 59 Mule Rd Ste E1Toms River, NJ 08755-5052 · Phone (732) 281-1101 · Fax (732) 281-1105

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

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.

PECOS PAC ID1759682446

PECOS Enrollment IDI20211007000165

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 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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

345 services237 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

330 services240 patients

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.

229 services175 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

197 services194 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

156 services141 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

148 services130 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

116 services29 patients

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.

103 services49 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

99 services83 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

76 services76 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

75 services75 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

70 services69 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

69 services69 patients

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

59 services58 patients

Electrocardiogram (ecg) 1 to 3 leads with review by physician 93040

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. It uses 1 to 3 leads (sensors) placed on your skin. A physician reviews the results to assess heart rate, rhythm, and detect any abnormalities.

58 services58 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

51 services51 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

51 services51 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978

This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.

50 services47 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

45 services45 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

37 services37 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

31 services31 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

31 services31 patients

Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries A9555

Rubidium Rb-82 is a radioactive drug used in a PET scan to help visualize the heart. It helps detect areas with poor blood flow, aiding in diagnosing heart conditions. The dose is up to 60 millicuries per study.

31 services29 patients

Nuclear medicine study of heart muscle blood flow by pet 78434

A nuclear medicine study of heart muscle blood flow by PET is a non-invasive test that uses a small amount of radioactive substance to create detailed images of your heart's blood flow and function. It helps assess heart health and diagnose heart conditions.

29 services29 patients

Nuclear medicine studies of blood flow in heart muscle at rest and with stress 78492

Nuclear medicine studies help visualize blood flow in your heart at rest and during stress. A small amount of radioactive substance is injected, which your heart absorbs. Images are then taken to assess your heart's health and function.

29 services29 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

27 services26 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.

26 services26 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.

24 services20 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

21 services20 patients

Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist 93459

This procedure involves placing a tube into your left lower heart chamber, coronary artery, and bypass graft. It's done for diagnostic purposes and is carefully reviewed by a radiologist. This helps determine the health of your heart and arteries, aiding in future treatment plans.

21 services19 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

20 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

19 services19 patients

Primary removal and dissolving of blood clot from artery or artery graft using fluoroscopic guidance, initial vessel 37184

This procedure involves the removal of a blood clot from an artery or artery graft. A special imaging technique called fluoroscopy is used to guide the process. This is the initial treatment for the first vessel involved. It helps restore normal blood flow.

18 services18 patients

Insertion of tube into left or right pulmonary artery 36014

This procedure involves placing a tube into your left or right pulmonary artery, which are the vessels carrying blood to your lungs. This helps monitor heart function and blood flow, aiding in diagnosis and treatment of certain heart conditions.

14 services14 patients

Insertion of needle or tube into artery of arm or leg 36140

This procedure involves inserting a needle or a small tube into an artery in your arm or leg. It's typically done to monitor blood pressure, take blood samples, or administer medication. You may feel a small prick or pressure. It's generally safe with minimal discomfort.

14 services11 patients

Review by radiologist of 1 arm or leg vein of 1 arm or leg image 75820

This procedure involves a radiologist examining an image of a vein in either your arm or leg. The image helps to identify any abnormalities or issues with blood flow. It's a non-invasive and safe process that aids in accurate diagnosis and treatment planning.

14 services14 patients

Removal of plaque, insertion of stent and balloon dilation of single coronary artery or branch 92933

This procedure involves clearing a blockage in your heart's artery. First, the doctor removes plaque that's clogging the artery. Next, a small tube called a stent is inserted to keep the artery open. Lastly, a balloon is inflated inside the artery to widen it, allowing better blood flow.

14 services11 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

13 services13 patients

Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional 93229

An Electrocardiogram (ECG) is a test that records your heart's electrical activity for up to 30 days. You trigger a transmission if you feel symptoms, which is then reviewed by a healthcare professional. The report helps diagnose heart conditions.

13 services13 patients

Review by radiologist of arteries of both lungs image 75743

This procedure involves a radiologist examining images of the arteries in your lungs. These images help identify any abnormalities or blockages that could affect your health. It's a crucial step in diagnosing and managing lung conditions.

12 services12 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

12 services11 patients

Review by radiologist of major lower body vein image 75825

This procedure involves a radiologist examining an image of a large vein in your lower body. The radiologist uses this image to identify any abnormalities or issues that may affect your health. The procedure is painless and non-invasive, providing valuable information for your healthcare.

11 services11 patients

Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel 92941

This procedure involves removing plaque, a substance that can block your blood vessels, and any blood clots. A stent, a tiny tube, may be inserted to keep the vessel open. If necessary, a balloon is inflated to widen the vessel, aiding blood flow.

11 services11 patients

Electrocardiogram (ecg) 1 to 3 leads 93041

An Electrocardiogram (ECG) is a test that checks how your heart is functioning by measuring its electrical activity. It uses 1 to 3 leads or sensors attached to your skin. This test helps identify any heart problems or monitor existing conditions.

11 services11 patients

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, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310034

LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County

Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number310052

Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County

Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310073

Location1945 State Route 33Neptune, NJ 07753 · Monmouth County

Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310112

Location727 N Beers StHolmdel, NJ 07733 · Monmouth County

Emergency services

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310113

Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County

Emergency services Birthing friendly

Physician 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.

New Patient

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

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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.

ADVANCED MAXILLOFACIAL IMAGING SERVICES

Clinic/Center (Radiology)

21 N GILBERT ST
TINTON FALLS, NJ 07701

Monmouth County (732) 747-0993

MONMOUTH EYE CENTER LLC

Ophthalmology

21 N GILBERT ST
TINTON FALLS, NJ 07701

Monmouth County (732) 241-1902

JP ORAL SURGERY ASSOCIATES PC

Clinic/Center (Oral and Maxillofacial Surgery)

21 N GILBERT ST, SUITE 210
TINTON FALLS, NJ 07701

Monmouth County (732) 747-0993

DR. ARISTOTELIS E VLAHOS M.D

Internal Medicine (Cardiovascular Disease)

21 N GILBERT ST
TINTON FALLS, NJ 07701

Monmouth County (732) 741-7400

JUDITH SIMON MD

Ophthalmology

21 N GILBERT ST
TINTON FALLS, NJ 07701

Monmouth County (732) 741-1902

DR. HEATHER MCGOWAN MD

Ophthalmology

21 N GILBERT ST
TINTON FALLS, NJ 07701

Monmouth County (732) 741-1902

CARDIAC CARE CENTER LLC

Specialist

21 N GILBERT ST
TINTON FALLS, NJ 07701

Monmouth County (732) 741-7400

DR. ARTHUR A O'KEEFE M.D.

Internal Medicine (Cardiovascular Disease)

21 N GILBERT ST
TINTON FALLS, NJ 07701

Monmouth County (732) 741-7400

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 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.

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 with the weekly NPPES data releases published by CMS.