Kiran K Upadhyay, MD - Medicare Pediatric Medicine in Gainesville, FL

Kiran K Upadhyay, MD is a medicare enrolled "Pediatrics - Pediatric Nephrology" physician in Gainesville, Florida. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Florida Clinical Practice Association Inc and his current practice location is 1600 Sw Archer Rd, Box 100296, Gainesville, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 265-7999.

Kiran K Upadhyay is licensed to practice in Florida (license number ME116049) 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 1588831291.

Contact Information

Kiran K Upadhyay, MD
1600 Sw Archer Rd, Box 100296,
Gainesville, FL 32610-0296
(352) 265-7999
Not Available

Map and Direction




Physician's Profile

Full NameKiran K Upadhyay
GenderMale
SpecialityPediatric Medicine
Experience20 Years
Location1600 Sw Archer Rd, Gainesville, Florida
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:
  • Kiran K Upadhyay graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1588831291
  • Provider Enumeration Date: 05/12/2008
  • Last Update Date: 09/26/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6002084472
  • Enrollment ID: I20130626000752

Medical Identifiers

Medical identifiers for Kiran K Upadhyay such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588831291NPI-NPPES
008874100MedicaidFL
201029000MedicaidIN
7100170360MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0210XPediatrics - Pediatric Nephrology 263848 (New York)Secondary
2080P0210XPediatrics - Pediatric Nephrology ME116049 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Uf Health Shands HospitalGainesville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Florida Clinical Practice Association Inc03451462541622

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. Kiran K Upadhyay allows following entities to bill medicare on his behalf.
Entity NameFlorida Clinical Practice Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063463768
PECOS PAC ID: 0345146254
Enrollment ID: O20031211000099

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. Kiran K 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
Kiran K Upadhyay, MD
Po Box 100296,
Gainesville, FL 32610-0296

Ph: () -
Kiran K Upadhyay, MD
1600 Sw Archer Rd, Box 100296,
Gainesville, FL 32610-0296

Ph: (352) 265-7999

Reviews and Comments


Pediatrics Doctors in Gainesville, FL

Dr. Bahareh Ebadifar Keith, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-273-0462    Fax: 352-273-6250
Jose Maria Cardenas Fimbres, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1600 Sw Archer Rd Fl 32610, Gainesville, FL 32610
Phone: 915-803-1159    
Stephen Smyth Beebe, MD FACP
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 6440 W Newberry Rd, #402, Gainesville, FL 32605
Phone: 352-333-5500    Fax: 352-333-5506
Kristin Alexandra Dayton, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-273-9001    
Neel Kamal Singh,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-273-9011    
Donald J Fillipps, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-265-0451    Fax: 352-392-9802
Sarah Tatum Ritchie, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32601
Phone: 352-273-5400    Fax: 352-273-5260

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.