Niraj Upadhayay, MD
NPI 1497947964 · Hospitalist Physician · Edgewood, KY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Niraj Upadhayay, MD is a Hospitalist Physician provider in Edgewood, KY (NPI 1497947964).
Provider details
- NPI number
- 1497947964
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 46322 (KY)
Specialties & taxonomies
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
18 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
888 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 | 550 | $75 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 147 | $109 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 127 | $165 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 39 | $113 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 25 | $47 |
Typical Medicare-allowed amounts for these services range $47–$165 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 29 | 28 |
| Atorvastatin Calcium | 25 | 24 |
| Furosemide | 25 | 24 |
| Ondansetron Hcl | 25 | 24 |
| Metoprolol Succinate | 21 | 19 |
| Prednisone | 20 | 20 |
| Amlodipine Besylate | 17 | 17 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-08-17
- Last updated
- 2022-03-15
- Certified
- 2022-03-15
Frequently asked questions
- What is Niraj Upadhayay's NPI number?
- Niraj Upadhayay's National Provider Identifier (NPI) is 1497947964, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Niraj Upadhayay's specialty?
- Niraj Upadhayay is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Niraj Upadhayay located?
- Niraj Upadhayay's practice location on file with NPPES is 1 Medical Village Dr, Edgewood, KY 41017.
- What is Niraj Upadhayay's phone number?
- The practice phone number listed in the NPPES registry for Niraj Upadhayay is (859) 301-8074.
- Does Niraj Upadhayay accept Medicare?
- Niraj Upadhayay is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Niraj Upadhayay's NPI active?
- Yes — Niraj Upadhayay's NPI (1497947964) is active in the NPPES registry as of the last update on 2022-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.