Dr Upendra Raj Kaphle, MD - Medicare Internal Medicine in Cleveland, OH

Dr Upendra Raj Kaphle, MD is a medicare enrolled "Internal Medicine" physician in Cleveland, Ohio. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 11100 Euclid Ave, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at (216) 844-8500.

Dr Upendra Raj Kaphle is licensed to practice in Ohio (license number 35.096699) 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 1497053755.

Contact Information

Dr Upendra Raj Kaphle, MD
11100 Euclid Ave,
Cleveland, OH 44106-1716
(216) 844-8500
Not Available

Map and Direction




Physician's Profile

Full NameDr Upendra Raj Kaphle
GenderMale
SpecialityInternal Medicine
Experience18 Years
Location11100 Euclid Ave, Cleveland, Ohio
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 Upendra Raj Kaphle graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1497053755
  • Provider Enumeration Date: 03/09/2011
  • Last Update Date: 12/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1951579994
  • Enrollment ID: I20201116002631

Medical Identifiers

Medical identifiers for Dr Upendra Raj Kaphle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497053755NPI-NPPES
3132792MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD.206300 (Louisiana)Secondary
207R00000XInternal Medicine 35.096699 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaiser Foundation Hospital - RosevilleRoseville, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Permanente Medical Group Inc89219102258376

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 Upendra Raj Kaphle allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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 Upendra Raj Kaphle 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 Upendra Raj Kaphle, MD
24701 Euclid Ave, 3rd Floor,
Euclid, OH 44117-1714

Ph: () -
Dr Upendra Raj Kaphle, MD
11100 Euclid Ave,
Cleveland, OH 44106-1716

Ph: (216) 844-8500

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.