Prashant Upadhyaya, MD
NPI 1003177361 · Critical Care Medicine (Internal Medicine) Physician · Hollywood, FL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prashant Upadhyaya, MD is a Critical Care Medicine (Internal Medicine) Physician provider in Hollywood, FL (NPI 1003177361).
Provider details
- NPI number
- 1003177361
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
24 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 24 | $88 |
Typical Medicare-allowed amounts for these services range $88–$88 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 10201 66th RdForest Hills, NY 11375-2029Phone: (718) 830-4000
Registry dates
- Enumerated
- 2012-06-04
- Last updated
- 2022-12-07
- Certified
- 2022-12-07
Frequently asked questions
- What is Prashant Upadhyaya's NPI number?
- Prashant Upadhyaya's National Provider Identifier (NPI) is 1003177361, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prashant Upadhyaya's specialty?
- Prashant Upadhyaya is listed in the NPPES registry with a primary specialty of Critical Care Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Prashant Upadhyaya located?
- Prashant Upadhyaya's practice location on file with NPPES is 3501 Johnson St Fl 3, Hollywood, FL 33021-5421.
- What is Prashant Upadhyaya's phone number?
- The practice phone number listed in the NPPES registry for Prashant Upadhyaya is (954) 265-9976.
- Does Prashant Upadhyaya accept Medicare?
- Prashant Upadhyaya is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prashant Upadhyaya's NPI active?
- Yes — Prashant Upadhyaya's NPI (1003177361) is active in the NPPES registry as of the last update on 2022-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.