DR. SHAILENDRA UPADHYAY M.D.
NPI 1932436508
Pediatrics - Pediatric Cardiology in Miami, FL
About Dr. Shailendra Upadhyay M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHAILENDRA UPADHYAY M.D. (NPI 1932436508) is an individual pediatric cardiology provider in Miami, Florida, licensed in Florida (ME177120) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 5
Accepted Insurance
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. Shailendra Upadhyay 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
2Medicare enrollment records show Shailendra Upadhyay reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miami, FL 33136
- Reassigned Medicare billing, Florida enrollment
- 3,639 clinicians in this Medicare group
Springfield, MA 01151
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Ipc Hospitalists Of New England PC
- 88 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 3
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jackson Health System
Acute Care Hospitals · Miami, FLOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
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 Shailendra Upadhyay's NPI number?
The NPI number for Shailendra Upadhyay is 1932436508. It was assigned to this individual provider in the NPPES registry on November 3, 2009.
Where is Shailendra Upadhyay located?
Shailendra Upadhyay practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 585-6683.
What is Shailendra Upadhyay's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Shailendra Upadhyay enrolled in Medicare?
Yes. Shailendra 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.
Which organizations bill Medicare for Shailendra Upadhyay's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shailendra Upadhyay reassigns Medicare benefits to 2 organizations: University Of Miami (Miami, FL) and Ipc Hospitalists Of New England, P.C. (Springfield, MA). 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 Shailendra Upadhyay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shailendra Upadhyay accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Shailendra 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 Shailendra Upadhyay affiliated with any hospitals?
According to CMS data, Shailendra Upadhyay is affiliated with Jackson Health System.
When was this NPI record last updated?
The NPPES record for Shailendra Upadhyay was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Dr. Shailendra Upadhyay, M.D. · NPI 1932436508
Pediatric Cardiology physician in Miami, Florida. Individual provider, active in the CMS NPPES registry since November 3, 2009.
## Identity
- **NPI:** 1932436508 (Entity type: Individual)
- **Enumerated:** November 3, 2009
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** ME177120 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1611 NW 12TH AVE, Miami, FL 33136-1005
- **Phone:** (305) 585-6683
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Miami (NPI 1922058544, Miami, FL); Ipc Hospitalists Of New England, P.C. (NPI 1659555266, Springfield, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** December 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1932436508) · Data from the CMS NPPES public registry.