Active NPI
Ajay Kumar Upadhyay, MD
- Surgery Physician
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A53488
- Practice address
- 365 Hawthorne Ave
Ste 101
Oakland, CA 94609-3115 - Phone
- (510) 465-5523
- Fax
- (510) 832-6061
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A53488 | CA | Primary |
Addresses
Primary practice location
365 Hawthorne Ave
Ste 101
Oakland, CA 94609-3115
Mailing address
365 Hawthorne Ave
Ste 101
Oakland, CA 94609-3115
Phone (510) 465-5523
Other practice location 1
3010 Colby St Ste 118
Berkeley, CA 94705-2059
Phone (510) 486-0818
Other practice location 2
27206 Calaroga Ave Ste 206
Hayward, CA 94545-4300
Phone (510) 732-5731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0098240 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 30TH St
Suite 320
Oakland, CA 94609-3425
Phone (510) 204-1844
Hospital & facility affiliations
- Alta Bates Summit Medical Center
- St Rose Hospital
- Eden Medical Center
- Alta Bates Summit Medical Center - Alta Bates Camp
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 27 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A53488 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bass Medical Group | Current | Accepting new patients | |
| Bay Area Surgical Specialists, Inc a Medical Corporation | Current | Accepting new patients | |
| Bass Medical Group | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Bass Medical Group | Specialist | Past | Accepting new patients |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Eden Medical Center/San Leandro Hospital Campus | Past | Accepting new patients | |
| Madison Medical Center Stockhoff Memorial Nursing Home | Past | Accepting new patients | |
| HCA Healthone LLC | Past | Accepting new patients | |
| Parkland Health Center | Past | Accepting new patients | |
| Alameda Health System | Past | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients |
Locations
1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225
4721 Dallas Ranch Rd
Antioch, CA 94531
Phone (925) 676-2600
2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566
3010 Colby St
Ste 118
Berkeley, CA 94705
Phone (510) 486-0818
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
27206 Calaroga Ave
Ste 208
Hayward, CA 94545
Phone (510) 264-0300
27206 Calaroga Ave
Ste 206
Hayward, CA 94545
Phone (510) 732-5731
365 Hawthorne Ave
Ste 101
Oakland, CA 94609
Phone (510) 465-5523
350 Hawthorne Ave
Oakland, CA 94609
Phone (510) 655-4000
350 30th St
Ste 320
Oakland, CA 94609
Phone (510) 465-6700
365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424
355 Lennon Ln
Ste 205
Walnut Creek, CA 94598
Phone (925) 935-0627
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- aupadhyay161300@hisp.ehr.sutterhealth.org
- https://pmh-vmhaiku-01.pmh.org/FHIR/PARKLAND/api/FHIR/R4
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/R4/
- aupadhyay111903@ehr.johnmuirhealth.com
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Obstetrics & Gynecology Physician
- Walnut Creek, CA
- NPI 1174253405
-
- Orthopaedic Surgery Physician
- San Ramon, CA
- NPI 1467329904
-
- Orthopaedic Surgery Physician
- Sacramento, CA
- NPI 1356702526
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
-
- Pain Medicine Physician
- Visalia, CA
- NPI 1326409343
-
- Rehabilitation Hospital Unit
- San Leandro, CA
- NPI 1679523633
-
- Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1194171371
-
- General Acute Care Hospital
- Denver, CO
- NPI 1023062098
-
- Critical Access Hospital
- Fredericktown, MO
- NPI 1720163025
-
- General Acute Care Hospital
- Farmington, MO
- NPI 1003824061
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hayward, CA
- NPI 1942298153
-
- General Acute Care Hospital
- Castro Valley, CA
- NPI 1063812907
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1295181477
-
- General Acute Care Hospital
- Berkeley, CA
- NPI 1639523004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1104888155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 HAWTHORNE AVE",
"address_2": "STE 101",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093115",
"telephone_number": "510-465-5523",
"fax_number": "510-832-6061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 HAWTHORNE AVE",
"address_2": "STE 101",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093115",
"telephone_number": "510-465-5523",
"fax_number": "510-832-6061"
}
],
"practiceLocations": [
{
"address_1": "3010 Colby St Ste 118",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "947052059",
"country_code": "US",
"telephone_number": "510-486-0818",
"fax_number": "510-486-0819",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27206 Calaroga Ave Ste 206",
"address_purpose": "LOCATION",
"city": "Hayward",
"state": "CA",
"postal_code": "945454300",
"country_code": "US",
"telephone_number": "510-732-5731",
"fax_number": "510-732-5739",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UPADHYAY",
"first_name": "AJAY",
"middle_name": "KUMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A53488",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0098240",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
- University Healthcare Alliance
- University Healthcare Alliance
- University Healthcare Alliance
- Unlimited Homehealth
- Elizabeth A Uno, PH.D.
- Rani Yogendra Upadhyay, M.D.
- Upload Foundation
- Urban Catalyst Psychotherapy, a Licensed Clinical Social Worker Corpor
- Thomas H. Urbania, MD
- Emil Paul Talabis Urbano
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.