Organization Active NPI

Amit Upadhiaya DO PA

  • Internal Medicine Physician
  • Deerfield Beach, FL
National Provider Identifier
1275687261
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
059136 Issued in FL
Legal business name
AMIT UPADHIAYA DO PA
Practice address
1 W Sample Rd Ste 305
Deerfield Beach, FL 33064-3547
Phone
(954) 366-6335
Fax
(954) 366-6028
NPI assigned
Jan 23, 2007
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Amit Upadhiaya, DONPI 1417938499
Title
Pres
Phone
(954) 782-3170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 059136 FL Primary

Addresses

Primary practice location

1 W Sample Rd Ste 305
Deerfield Beach, FL 33064-3547

Mailing address

1 W Sample Rd
Deerfield Beach, FL 33064-3547
Phone (954) 366-6335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041102000727 FL Part B Supplier - Clinic/Group Practice 9739141664 Receives reassigned benefits from 2 practitioners
Practice locations: Deerfield Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1032093Amit Upadhiaya DO PA1 W Sample Rd Ste 305, Deerfield Beach, FL 33064Certificate of waiverOct 17, 2026

National Provider Directory

National Provider Directory

Locations

3170 N Federal Hwy
Ste 116
Lighthouse Point, FL 33064
Phone (954) 782-3170

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1275687261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W SAMPLE RD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330643547",
            "telephone_number": "954-366-6335",
            "fax_number": "954-366-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W SAMPLE RD STE 305",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330643547",
            "telephone_number": "954-366-6335",
            "fax_number": "954-366-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIT UPADHIAYA DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "UPADHIAYA",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "954-782-3170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "059136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.