Soham Upadhye
NPI 1912569823 · Hospitalist Physician · Rochester, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Soham Upadhye is a Hospitalist Physician provider in Rochester, NY (NPI 1912569823).
Provider details
- NPI number
- 1912569823
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 317860 (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
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
877 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 | 444 | $81 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 291 | $122 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 129 | $118 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 13 | $178 |
Typical Medicare-allowed amounts for these services range $81–$178 (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.
Practice location
Mailing address
Additional practice locations (1)
- 1555 Long Pond RdRochester, NY 14626-4164Phone: (585) 723-7000Fax: (585) 723-7871
Registry dates
- Enumerated
- 2019-07-01
- Last updated
- 2025-10-17
- Certified
- 2025-10-17
Frequently asked questions
- What is Soham Upadhye's NPI number?
- Soham Upadhye's National Provider Identifier (NPI) is 1912569823, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Soham Upadhye's specialty?
- Soham Upadhye is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Soham Upadhye located?
- Soham Upadhye's practice location on file with NPPES is 1425 Portland Ave, Rochester, NY 14621-3011.
- What is Soham Upadhye's phone number?
- The practice phone number listed in the NPPES registry for Soham Upadhye is (585) 922-4000.
- Does Soham Upadhye accept Medicare?
- Soham Upadhye is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Soham Upadhye's NPI active?
- Yes — Soham Upadhye's NPI (1912569823) is active in the NPPES registry as of the last update on 2025-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.