Utpal Pajvani, MD, PHD
NPI 1922257773 · Endocrinology, Diabetes & Metabolism Physician · New York, NY
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Utpal Pajvani, MD, PHD is a Endocrinology, Diabetes & Metabolism Physician provider in New York, NY (NPI 1922257773).
Provider details
- NPI number
- 1922257773
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 242824-1 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
257 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 81 | $91 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 44 | $148 |
| Hemoglobin A1c Level83036 | 36 | $10 |
| 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 | 31 | $19 |
| Diabetes Outpatient Self-Management Training Services, Individual, Per 30 MinutesG0108 | 24 | $64 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report |
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 |
|---|---|---|
| Dulaglutidebrand: Trulicity | 52 | 11 |
| Insulin Glargine,hum.rec.anlogbrand: Basaglar Kwikpen U-100 | 44 | 13 |
| Tirzepatidebrand: Mounjaro | 42 | — |
| Empagliflozinbrand: Jardiance | 39 | — |
| Semaglutidebrand: Ozempic | 36 | — |
| Metformin Hcl | 34 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,453 across 3 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
- 2008-09-17
- Last updated
- 2018-08-22
Frequently asked questions
- What is Utpal Pajvani's NPI number?
- Utpal Pajvani's National Provider Identifier (NPI) is 1922257773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Utpal Pajvani's specialty?
- Utpal Pajvani is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Utpal Pajvani located?
- Utpal Pajvani's practice location on file with NPPES is 1150 Saint Nicholas Ave, New York, NY 10032.
- What is Utpal Pajvani's phone number?
- The practice phone number listed in the NPPES registry for Utpal Pajvani is (212) 851-5494.
- Does Utpal Pajvani accept Medicare?
- Utpal Pajvani is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Utpal Pajvani's NPI active?
- Yes — Utpal Pajvani's NPI (1922257773) is active in the NPPES registry as of the last update on 2018-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.