Madhav Upadhyaya, M.D.
NPI 1861751034 · Nuclear Cardiology Physician · Tinton Falls, NJ
Enrolled with Medicare as Practitioner - Interventional Cardiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Madhav Upadhyaya, M.D. is a Nuclear Cardiology Physician provider in Tinton Falls, NJ (NPI 1861751034).
Provider details
- NPI number
- 1861751034
- Entity type
- Individual
- Primary specialty
- Nuclear Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036.138533 (IL)
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 tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
6 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
2,985 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) |
|---|---|---|
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 345 | $15 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 330 | $189 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 236 | $17 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 229 | $80 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 197 | $134 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 34 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 292 | 95 |
| Atorvastatin Calcium | 262 | 98 |
| Apixabanbrand: Eliquis | 214 | 62 |
| Rosuvastatin Calcium | 180 | 65 |
| Amlodipine Besylate | 109 | 37 |
| Losartan Potassium | 108 | 39 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$11,021 across 159 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
Additional practice locations (5)
- 35 Beaverson Blvd Ste 9bBrick, NJ 08723-7862Phone: (732) 262-4262Fax: (732) 262-4317
- 1 Hwy 35Keyport, NJ 07735-1166Phone: (732) 360-6333Fax: (732) 888-8225
- 115 E Bay AveManahawkin, NJ 08050-3109Phone: (609) 971-3300Fax: (609) 597-4656
- 1820 State Route 33 Ste 4bNeptune, NJ 07753-4860Phone: (732) 776-8500Fax: (732) 776-8946
- 9 Mule Rd Ste E1Toms River, NJ 08755-5052Phone: (732) 281-1101Fax: (732) 281-1105
Registry dates
- Enumerated
- 2012-05-09
- Last updated
- 2024-08-22
- Certified
- 2024-08-22
Frequently asked questions
- What is Madhav Upadhyaya's NPI number?
- Madhav Upadhyaya's National Provider Identifier (NPI) is 1861751034, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Madhav Upadhyaya's specialty?
- Madhav Upadhyaya is listed in the NPPES registry with a primary specialty of Nuclear Cardiology Physician (Allopathic & Osteopathic Physicians).
- Where is Madhav Upadhyaya located?
- Madhav Upadhyaya's practice location on file with NPPES is 21 N Gilbert St, Tinton Falls, NJ 07701-4950.
- What is Madhav Upadhyaya's phone number?
- The practice phone number listed in the NPPES registry for Madhav Upadhyaya is (732) 542-7600.
- Does Madhav Upadhyaya accept Medicare?
- Madhav Upadhyaya is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Madhav Upadhyaya's NPI active?
- Yes — Madhav Upadhyaya's NPI (1861751034) is active in the NPPES registry as of the last update on 2024-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.