Riddhi Upadhyay, MD
NPI 1245726892 · Critical Care Medicine (Internal Medicine) Physician · Scranton, PA
Enrolled with Medicare as Practitioner - Critical Care (intensivists) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Riddhi Upadhyay, MD is a Critical Care Medicine (Internal Medicine) Physician provider in Scranton, PA (NPI 1245726892).
Provider details
- NPI number
- 1245726892
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD479533 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
343 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 | 296 | $201 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 24 | $124 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 23 | $112 |
Typical Medicare-allowed amounts for these services range $112–$201 (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
Registry dates
- Enumerated
- 2018-07-06
- Last updated
- 2023-10-20
- Certified
- 2023-10-20
Frequently asked questions
- What is Riddhi Upadhyay's NPI number?
- Riddhi Upadhyay's National Provider Identifier (NPI) is 1245726892, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Riddhi Upadhyay's specialty?
- Riddhi Upadhyay is listed in the NPPES registry with a primary specialty of Critical Care Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Riddhi Upadhyay located?
- Riddhi Upadhyay's practice location on file with NPPES is 1800 Mulberry St, Scranton, PA 18510-2369.
- What is Riddhi Upadhyay's phone number?
- The practice phone number listed in the NPPES registry for Riddhi Upadhyay is (570) 703-8231.
- Does Riddhi Upadhyay accept Medicare?
- Riddhi Upadhyay is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Riddhi Upadhyay's NPI active?
- Yes — Riddhi Upadhyay's NPI (1245726892) is active in the NPPES registry as of the last update on 2023-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.