Dhaval Upadhyay, MD
NPI 1386149169 · Internal Medicine Physician · Gainesville, FL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dhaval Upadhyay, MD is a Internal Medicine Physician provider in Gainesville, FL (NPI 1386149169).
Provider details
- NPI number
- 1386149169
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME157987 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,071 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 50 Minutes99233 | 671 | $116 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 223 | $111 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 116 | $77 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 61 | $169 |
Typical Medicare-allowed amounts for these services range $77–$169 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cefuroxime Axetilbrand: Cefuroxime | 38 | 38 |
| Doxycycline Hyclate | 32 | 32 |
| Atorvastatin Calcium | 25 | 24 |
| Carvedilol | 21 | 19 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 20 | 16 |
| Pantoprazole Sodium | 18 | 13 |
| Ciprofloxacin Hcl | 17 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$164 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-03-26
- Last updated
- 2025-04-11
- Certified
- 2025-04-11
Frequently asked questions
- What is Dhaval Upadhyay's NPI number?
- Dhaval Upadhyay's National Provider Identifier (NPI) is 1386149169, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dhaval Upadhyay's specialty?
- Dhaval Upadhyay is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Dhaval Upadhyay located?
- Dhaval Upadhyay's practice location on file with NPPES is 1147 Nw 64th Ter, Gainesville, FL 32605-4218.
- What is Dhaval Upadhyay's phone number?
- The practice phone number listed in the NPPES registry for Dhaval Upadhyay is (352) 333-5159.
- Does Dhaval Upadhyay accept Medicare?
- Dhaval Upadhyay is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dhaval Upadhyay's NPI active?
- Yes — Dhaval Upadhyay's NPI (1386149169) is active in the NPPES registry as of the last update on 2025-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.