Hinesh Upadhyay, M.D.
NPI 1144632944 · Pulmonary Disease Physician · East Orange, NJ
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hinesh Upadhyay, M.D. is a Pulmonary Disease Physician provider in East Orange, NJ (NPI 1144632944).
Provider details
- NPI number
- 1144632944
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25MA09477900 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
283 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 173 | $218 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 74 | $122 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 19 | $83 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 17 | $183 |
Typical Medicare-allowed amounts for these services range $83–$218 (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)
- 65 James StEdison, NJ 08820Phone: (732) 321-7935
Registry dates
- Enumerated
- 2014-05-28
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Frequently asked questions
- What is Hinesh Upadhyay's NPI number?
- Hinesh Upadhyay's National Provider Identifier (NPI) is 1144632944, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hinesh Upadhyay's specialty?
- Hinesh Upadhyay is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Hinesh Upadhyay located?
- Hinesh Upadhyay's practice location on file with NPPES is 300 Central Ave, East Orange, NJ 07018-2819.
- What is Hinesh Upadhyay's phone number?
- The practice phone number listed in the NPPES registry for Hinesh Upadhyay is (973) 672-8400.
- Does Hinesh Upadhyay accept Medicare?
- Hinesh Upadhyay is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hinesh Upadhyay's NPI active?
- Yes — Hinesh Upadhyay's NPI (1144632944) is active in the NPPES registry as of the last update on 2025-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.