Dr Unnati Upadhyay, MD - Medicare Family Practice in Normal, IL

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Dr Unnati Upadhyay, MD is a medicare enrolled "Family Medicine" physician in Normal, Illinois. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Carle West Physician Group Inc and her current practice location is 1300 Franklin Ave, Normal, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 268-3598.

Dr Unnati Upadhyay is licensed to practice in Illinois (license number 036154016) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1114411410.

Contact Information

Dr Unnati Upadhyay, MD
1300 Franklin Ave,
Normal, IL 61761-3592
(309) 268-3598
Not Available

Map and Direction




Physician's Profile

Full NameDr Unnati Upadhyay
GenderFemale
SpecialityFamily Practice
Experience7 Years
Location1300 Franklin Ave, Normal, Illinois
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Unnati Upadhyay graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1114411410
  • Provider Enumeration Date: 06/20/2018
  • Last Update Date: 04/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2961759436
  • Enrollment ID: I20211026002323

Medical Identifiers

Medical identifiers for Dr Unnati Upadhyay such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114411410NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036154016 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Bromenn Medical CenterNormal, ILHospital
Advocate Eureka HospitalEureka, ILHospital
St Joseph Medical CenterBloomington, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carle West Physician Group Inc8921420308283

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 Unnati Upadhyay allows following entities to bill medicare on her behalf.
Entity NameAdvanced Integrative Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497937536
PECOS PAC ID: 4789610619
Enrollment ID: O20050712001134
Entity NameCopley Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619466034
PECOS PAC ID: 4587656921
Enrollment ID: O20180530001537
Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147

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 Unnati 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 Unnati Upadhyay, MD
611 W. Park St., Fapc,
Urbana, IL 61801

Ph: () -		Dr Unnati Upadhyay, MD
1300 Franklin Ave,
Normal, IL 61761-3592

Ph: (309) 268-3598

Reviews and Comments


Family Medicine Doctors in Normal, IL

Dr. Rachel Christine Dalal, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1300 Franklin Ave Ste 100, Normal, IL 61761
Phone: 309-268-3761    Fax: 309-268-5620
Ashraf Abdeljaber, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1304 Franklin Ave Ste 380, Normal, IL 61761
Phone: 309-268-3598    
John A. Pollastrini, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1302 Franklin Ave Ste 1100, Normal, IL 61761
Phone: 309-268-2727    Fax: 309-268-6513
George Gerolimatos, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1304 Franklin Ave, Normal, IL 61761
Phone: 309-268-3558    
James Steven Vales, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 109 Veronica Way, Normal, IL 61761
Phone: 309-454-4698    
Susan Rausch,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2200 Fort Jesse Rd, Suite 110, Normal, IL 61761
Phone: 309-661-6290    Fax: 309-451-1354

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.