Individual provider Active NPI

Naresh K Upadhyay, MD

  • Pulmonary Disease Physician
  • Hammond, IN
National Provider Identifier
1326052309
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01039671A Issued in IN
Practice address
5500 S Hohman Ave Ste 1E
Hammond, IN 46320-1962
Phone
(219) 852-0197
Fax
(219) 937-2195
NPI assigned
Jul 28, 2006
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 01039671A IN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036083179 IL
Pulmonary Disease Physician 207RP1001X 036083179 IL
Pulmonary Disease Physician 207RP1001X 01039671A IN Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 01039671A IN
Sleep Medicine (Internal Medicine) Physician 207RS0012X 036083179 IL

Addresses

Primary practice location

5500 S Hohman Ave Ste 1E
Hammond, IN 46320-1962

Mailing address

10547 Misty Hill Rd
Orland Park, IL 60462-7439
Phone (847) 587-6112

Other identifiers 2

IdentifierTypeStateIssuer
036083179MedicaidIL
200066830AMedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nupadhyay276246@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070406000051 IL Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 1850495516 Reassigns benefits to 1 organization
I20071009000138 IN Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 1850495516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1479 Ring Rd
Calumet City, IL 60409-5459
Phone (773) 768-8925

24 Joliet St
Suite 101
Dyer, IN 46311-1705
Phone (219) 852-0197

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036083179ILMDSleep Medicine (Internal Medicine) Physician
01039671AINMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vraj, LTD Critical Care Medicine CurrentSince Jan 1, 1995 Accepting new patients

Locations

1479 Ring Rd
Calumet City, IL 60409
Phone (219) 836-0488

2315 E 93rd St
Ste 237
Chicago, IL 60617
Phone (773) 221-2700

24 Joliet St
Ste 101
Dyer, IN 46311
Phone (219) 864-2059

5500 Hohman Ave
Ste 1E
Hammond, IN 46320
Phone (219) 852-0197

Interoperability endpoints

  • Direct secure messaging: nupadhyay64005@direct.franciscanalliance.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1326052309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10547 MISTY HILL RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604627439",
            "telephone_number": "847-587-6112",
            "fax_number": "219-937-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 S HOHMAN AVE STE 1E",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201962",
            "telephone_number": "219-852-0197",
            "fax_number": "219-937-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPADHYAY",
        "first_name": "NARESH",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01039671A",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036083179",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036083179",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01039671A",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IN",
            "license": "01039671A",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IL",
            "license": "036083179",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036083179",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200066830A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nupadhyay276246@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5500 S Hohman Ave Ste 1E",
            "city": "Hammond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463201962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "5500 S Hohman Ave Ste 1E",
            "city": "Hammond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463201962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

Verify at the official NPI Registry.