Umang Barvalia, MBBS
NPI 1578827242 · Pulmonary Disease Physician · Madison, WI
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Umang Barvalia, MBBS is a Pulmonary Disease Physician provider in Madison, WI (NPI 1578827242).
Provider details
- NPI number
- 1578827242
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MBBS
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
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
13 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
517 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 168 | $234 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 79 | $75 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 66 | $134 |
| Test to Determine Lung Volumes Using Sensors94726 | 43 | $13 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 42 | $10 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 32 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 23 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 76 | 35 |
| Budesonide/Formoterol Fumaratebrand: Budesonide-Formoterol Fumarate | 54 | 14 |
| Fluticasone Propion/Salmeterolbrand: Wixela Inhub | 39 | — |
| Mepolizumabbrand: Nucala | 30 | — |
| Tiotropium Bromidebrand: Spiriva Handihaler | 30 | — |
| Tiotropium Bromidebrand: Spiriva Respimat | 29 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$40 across 2 records (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
- 2012-06-27
- Last updated
- 2017-01-06
Frequently asked questions
- What is Umang Barvalia's NPI number?
- Umang Barvalia's National Provider Identifier (NPI) is 1578827242, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Umang Barvalia's specialty?
- Umang Barvalia is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Umang Barvalia located?
- Umang Barvalia's practice location on file with NPPES is 600 Highland Ave, Madison, WI 53792-0001.
- What is Umang Barvalia's phone number?
- The practice phone number listed in the NPPES registry for Umang Barvalia is (608) 263-8023.
- Does Umang Barvalia accept Medicare?
- Umang Barvalia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Umang Barvalia's NPI active?
- Yes — Umang Barvalia's NPI (1578827242) is active in the NPPES registry as of the last update on 2017-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.