Niraj Upadhayay, MD in Edgewood, KY - Medicare Internal Medicine

Niraj Upadhayay, MD is a medicare enrolled "Hospitalist" physician in Edgewood, Kentucky. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Summit Medical Group, Inc and his current practice location is 1 Medical Village Dr, Edgewood, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 301-8074.

Niraj Upadhayay is licensed to practice in Kentucky (license number 46322) 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 1497947964.

Contact Information

	Niraj Upadhayay, MD
	1 Medical Village Dr, Edgewood, KY 41017
	(859) 301-8074
	(859) 301-4945

Map and Direction

Physician's Profile

Full Name	Niraj Upadhayay
Gender	Male
Speciality	Internal Medicine
Experience	19 Years
Location	1 Medical Village Dr, Edgewood, Kentucky
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Niraj Upadhayay graduated from medical school in 2005

NPI Data:

NPI Number: 1497947964
Provider Enumeration Date: 08/17/2007
Last Update Date: 03/15/2022

Medicare PECOS Information:

PECOS PAC ID: 9638364458
Enrollment ID: I20130802000783

Medical Identifiers

Medical identifiers for Niraj Upadhayay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497947964	NPI	-	NPPES
3932056	Other	IL	BCBS
7100259620	Medicaid	KY
036125356	Medicaid	IL
721089	Other	IL	AETNA
0087703	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	46322 (Kentucky)	Secondary
208M00000X	Hospitalist	036125356 (Illinois)	Secondary
208M00000X	Hospitalist	46322 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Elizabeth Edgewood	Edgewood, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Summit Medical Group, Inc	2163326240	712

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. Niraj Upadhayay allows following entities to bill medicare on his behalf.

Entity Name	Summit Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738

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. Niraj Upadhayay 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 Address	Practice Location Address
Niraj Upadhayay, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 301-8074	Niraj Upadhayay, MD 1 Medical Village Dr, Edgewood, KY 41017 Ph: (859) 301-8074

Reviews and Comments

Hospitalist Doctors in Edgewood, KY

Dr. Jeffrey Yates, M.D., PH.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-8074 Fax: 859-301-4945
Dr. Cody Alexander Van Linge, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 413 S Loop Rd, Edgewood, KY 41017 Phone: 859-301-3800
Ranbir Singh Dhaliwal, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-8074 Fax: 859-301-4945

Niraj Upadhayay, MD - Medicare Internal Medicine in Edgewood, KY