Dr Madhav Prakash Upadhyaya, MD - Medicare Cardiovascular Disease (cardiology) in Tinton Falls, NJ

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Dr Madhav Prakash Upadhyaya, MD is a medicare enrolled "Nuclear Medicine - Nuclear Cardiology" physician in Tinton Falls, New Jersey. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Shore Heart Group, Pa, Meridian Cardiovascular Interpretive Services Pc and his current practice location is 21 N Gilbert St, Tinton Falls, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 542-7600.

Dr Madhav Prakash Upadhyaya is licensed to practice in New Jersey (license number 25MA11208100) 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 1861751034.

Contact Information

Dr Madhav Prakash Upadhyaya, MD
21 N Gilbert St,
Tinton Falls, NJ 07701-4950
(732) 542-7600
Not Available

Map and Direction




Physician's Profile

Full NameDr Madhav Prakash Upadhyaya
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience12 Years
Location21 N Gilbert St, Tinton Falls, 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 Madhav Prakash Upadhyaya graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1861751034
  • Provider Enumeration Date: 05/09/2012
  • Last Update Date: 08/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1759682446
  • Enrollment ID: I20211007000165

Medical Identifiers

Medical identifiers for Dr Madhav Prakash Upadhyaya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861751034NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036.138533 (Illinois)Secondary
207R00000XInternal Medicine 303003 (Louisiana)Secondary
207UN0901XNuclear Medicine - Nuclear Cardiology 25MA11208100 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jersey Shore University Medical CenterNeptune, NJHospital
Southern Ocean Medical CenterManahawkin, NJHospital
Riverview Medical CenterRed bank, NJHospital
Ocean Medical CenterBrick, NJHospital
Bayshore Medical CenterHolmdel, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shore Heart Group, Pa155726844834
Meridian Cardiovascular Interpretive Services Pc852701223658

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 Madhav Prakash Upadhyaya allows following entities to bill medicare on his behalf.
Entity NameHackensack Meridian Health Medical Group - Specialty Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215989249
PECOS PAC ID: 9133032519
Enrollment ID: O20031111000524
Entity NameShore Heart Group, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063466605
PECOS PAC ID: 1557268448
Enrollment ID: O20031218000083
Entity NameMeridian Cardiovascular Interpretive Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548310576
PECOS PAC ID: 8527012236
Enrollment ID: O20050307000039

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 Madhav Prakash Upadhyaya 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 Madhav Prakash Upadhyaya, MD
1514 Jefferson Hwy,
New Orleans, LA 70121-2429

Ph: () -		Dr Madhav Prakash Upadhyaya, MD
21 N Gilbert St,
Tinton Falls, NJ 07701-4950

Ph: (732) 542-7600

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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