Sanjay Upadhyay, M.D.
NPI 1538350053 · Family Medicine Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sanjay Upadhyay, M.D. is a Family Medicine Physician provider in Philadelphia, PA (NPI 1538350053).
Provider details
- NPI number
- 1538350053
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 253746 (NY)
Specialties & taxonomies
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
1,807 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 257 | $144 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 180 | $101 |
| Management Using the Results of Remote Vital Sign Monitoring Per Calendar Month, First 20 Minutes99457 | 172 | $56 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 167 | $146 |
| Remote Monitoring of Physiologic Parameters, Initial Supply of Devices With Daily Recordings Or Programmed Alerts Transmission, Each 30 Days99454 | 143 | $56 |
| Insertion of Needle Into Vein for Collection of Blood Sample |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 55 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 279 | 112 |
| Amlodipine Besylate | 237 | 86 |
| Losartan Potassium | 133 | 47 |
| Levothyroxine Sodium | 132 | 41 |
| Simvastatin | 87 | 27 |
| Rosuvastatin Calcium | 86 | 35 |
| Lisinopril |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-08-08
- Last updated
- 2017-05-30
Frequently asked questions
- What is Sanjay Upadhyay's NPI number?
- Sanjay Upadhyay's National Provider Identifier (NPI) is 1538350053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sanjay Upadhyay's specialty?
- Sanjay Upadhyay is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sanjay Upadhyay located?
- Sanjay Upadhyay's practice location on file with NPPES is 1741 Frankford Ave, Philadelphia, PA 19125-2445.
- What is Sanjay Upadhyay's phone number?
- The practice phone number listed in the NPPES registry for Sanjay Upadhyay is (215) 425-2424.
- Does Sanjay Upadhyay accept Medicare?
- Sanjay Upadhyay is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sanjay Upadhyay's NPI active?
- Yes — Sanjay Upadhyay's NPI (1538350053) is active in the NPPES registry as of the last update on 2017-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.