Dr Prakash Upreti, MD - Medicare Hospitalist in Rochester, NY

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Dr Prakash Upreti, MD is a medicare enrolled "Hospitalist" physician in Rochester, New York. His current practice location is 1425 Portland Ave, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at (295) 029-8769.

Dr Prakash Upreti is licensed to practice in New York (license number 317858) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003468620.

Contact Information

Dr Prakash Upreti, MD
1425 Portland Ave,
Rochester, NY 14621-3011
(295) 029-8769
Not Available

Map and Direction




Physician's Profile

Full NameDr Prakash Upreti
GenderMale
SpecialityHospitalist
Location1425 Portland Ave, Rochester, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003468620
  • Provider Enumeration Date: 07/13/2019
  • Last Update Date: 09/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8022487149
  • Enrollment ID: I20221213001196

Medical Identifiers

Medical identifiers for Dr Prakash Upreti such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003468620NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 317858 (New York)Secondary
208M00000XHospitalist 317858 (New York)Primary

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 Prakash Upreti allows following entities to bill medicare on his behalf.
Entity NameRochester General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356412712
PECOS PAC ID: 0244149474
Enrollment ID: O20031121000644
Entity NameNewark Wayne Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770671182
PECOS PAC ID: 0446154199
Enrollment ID: O20031212000722
Entity NameThe Unity Hospital Of Rochester
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760421713
PECOS PAC ID: 9436060969
Enrollment ID: O20031230000038
Entity NameUnited Memorial Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902800352
PECOS PAC ID: 0547259376
Enrollment ID: O20040507000847
Entity NameClifton Springs Sanitarium Co
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366505463
PECOS PAC ID: 5092704809
Enrollment ID: O20040525000569

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 Prakash Upreti 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 Prakash Upreti, MD
235 Greystone Ln Apt 6,
Rochester, NY 14618-5126

Ph: (929) 502-9876		Dr Prakash Upreti, MD
1425 Portland Ave,
Rochester, NY 14621-3011

Ph: (295) 029-8769

Reviews and Comments


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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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.