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HITENDRA UPADHYAYA M. D.
NPI 1902912561
Internal Medicine - Hematology & Oncology in Jersey City, NJ

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
282 SAINT PAULS AVE, GROUND FLOOR OFFICE, JERSEY CITY, NJ 07306(862) 222-2427(201) 915-2219 Get Directions Write a Review

NPPES record last updated: May 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hitendra Upadhyaya M. D. NPPES

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

HITENDRA UPADHYAYA M. D. (NPI 1902912561) is an individual hematology & oncology provider in Jersey City, New Jersey, licensed in New Jersey (25MA05772000) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1902912561
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameHITENDRA UPADHYAYACredential: M. D.
Location Address282 SAINT PAULS AVE, GROUND FLOOR OFFICEJersey City, NJ 07306-5012
Mailing Address7 F X Downey CtParsippany, NJ 07054-2338 · (973) 575-5231 · Fax (201) 915-2219
Phone(862) 222-2427
Fax(201) 915-2219
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateAugust 23, 2006
Last NPPES UpdateMay 18, 2009
✔ NPI 1902912561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NJ · 25MA05772000
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
282 SAINT PAULS AVE, Jersey City, NJ 07306
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Other Identifiers 1

Medicaid7003404NJ

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

Hitendra 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 ID5597709618
PECOS Enrollment IDI20050620000092
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.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
360 services94 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.
278 services77 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 services69 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07306 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

OSTEOPATHIC REHAB ASSOCIATES PC
Physical Medicine & Rehabilitation
282 SAINT PAULS AVE
JERSEY CITY, NJ 07306
Hudson County (201) 422-2556
HUDSON ONCOLOGY HEMATOLOGY
Internal Medicine (Hematology & Oncology)
282 SAINT PAULS AVE, GROUND FLOOR MEDICAL OFFICE
JERSEY CITY, NJ 07306
Hudson County (862) 222-2424

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 Hitendra Upadhyaya's NPI number?

The NPI number for Hitendra Upadhyaya is 1902912561. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Hitendra Upadhyaya located?

Hitendra Upadhyaya practices at 282 Saint Pauls Ave Ground Floor Office, Jersey City, NJ 07306. The listed phone number is (862) 222-2427.

What is Hitendra Upadhyaya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Hitendra Upadhyaya enrolled in Medicare?

Yes. Hitendra 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 Hitendra Upadhyaya affiliated with any hospitals?

According to CMS data, Hitendra Upadhyaya is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Hitendra Upadhyaya was last updated on May 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.