Dr Hinesh Upadhyay, MD - Medicare Pulmonary Disease in East Orange, NJ

Dr Hinesh Upadhyay, MD is a medicare enrolled "Internal Medicine" physician in East Orange, New Jersey. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Saint Peters University Hospital and his current practice location is 300 Central Ave, East Orange, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 672-8400.

Dr Hinesh Upadhyay is licensed to practice in New Jersey (license number 25MA09477900) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144632944.

Contact Information

Dr Hinesh Upadhyay, MD
300 Central Ave,
East Orange, NJ 07018-2819
(973) 672-8400
Not Available

Map and Direction




Physician's Profile

Full NameDr Hinesh Upadhyay
GenderMale
SpecialityPulmonary Disease
Experience19 Years
Location300 Central Ave, East Orange, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Hinesh Upadhyay graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1144632944
  • Provider Enumeration Date: 05/28/2014
  • Last Update Date: 08/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7214156041
  • Enrollment ID: I20140910000235

Medical Identifiers

Medical identifiers for Dr Hinesh Upadhyay such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144632944NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 25MA09477900 (New Jersey)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 25MA09477900 (New Jersey)Secondary
207RS0012XInternal Medicine - Sleep Medicine 25MA09477900 (New Jersey)Secondary
207R00000XInternal Medicine 25MA09477900 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Peter's University HospitalNew brunswick, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint Peters University Hospital9931012382117

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Hinesh Upadhyay allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Warren Physician Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467725184
PECOS PAC ID: 9739093675
Enrollment ID: O20031117000020
Entity NameSaint Peters University Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114924834
PECOS PAC ID: 9931012382
Enrollment ID: O20040112000043
Entity NameApogee Medical Group Of New Jersey Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104873629
PECOS PAC ID: 8224086103
Enrollment ID: O20050107000014
Entity NameNottingham Physician Associates, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225292063
PECOS PAC ID: 5799837720
Enrollment ID: O20090722000168
Entity NameCcmma Nj Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124543095
PECOS PAC ID: 8123392495
Enrollment ID: O20170926000361

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Hinesh Upadhyay is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Hinesh Upadhyay, MD
873 Us Route 1 # 1092,
North Brunswick, NJ 08902-3345

Ph: (551) 775-1820
Dr Hinesh Upadhyay, MD
300 Central Ave,
East Orange, NJ 07018-2819

Ph: (973) 672-8400

Reviews and Comments


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