Prashant K Upadhyaya, MD - Medicare Plastic And Reconstructive Surgery in Round Rock, TX

Prashant K Upadhyaya, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Round Rock, Texas. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Seton Family Of Doctors and his current practice location is 301 Seton Pkwy Ste 103, Round Rock, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 324-4815.

Prashant K Upadhyaya is licensed to practice in Texas (license number P4722) 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 1861699506.

Contact Information

Prashant K Upadhyaya, MD
301 Seton Pkwy Ste 103,
Round Rock, TX 78665-8003
(512) 324-4815
Not Available

Map and Direction




Physician's Profile

Full NamePrashant K Upadhyaya
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience23 Years
Location301 Seton Pkwy Ste 103, Round Rock, Texas
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:
  • Prashant K Upadhyaya graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1861699506
  • Provider Enumeration Date: 06/27/2007
  • Last Update Date: 08/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0244465045
  • Enrollment ID: I20220808003319

Medical Identifiers

Medical identifiers for Prashant K Upadhyaya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861699506NPI-NPPES
03586041MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 269241 (New York)Secondary
208600000XSurgery 5159 (Nebraska)Secondary
2082S0105XPlastic Surgery - Surgery Of The Hand 269241 (New York)Secondary
2086S0122XSurgery - Plastic And Reconstructive Surgery 269241 (New York)Secondary
2086S0122XSurgery - Plastic And Reconstructive Surgery P4722 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Seton Medical Center WilliamsonRound rock, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Seton Family Of Doctors0941333280666

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. Prashant K Upadhyaya allows following entities to bill medicare on his behalf.
Entity NameSeton Family Of Doctors
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588997233
PECOS PAC ID: 0941333280
Enrollment ID: O20100806000260

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. Prashant K Upadhyaya 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
Prashant K Upadhyaya, MD
301 Seton Pkwy Ste 103,
Round Rock, TX 78665-8003

Ph: () -
Prashant K Upadhyaya, MD
301 Seton Pkwy Ste 103,
Round Rock, TX 78665-8003

Ph: (512) 324-4815

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.