Active NPI
Amit Upadhiaya, DO
- Internal Medicine Physician
- Pompano Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS9136
- Practice address
- 1 W Sample Rd
#201
Pompano Beach, FL 33064-3547 - Phone
- (954) 782-3170
- Fax
- (954) 782-3171
- NPI assigned
- Nov 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS9136 | FL | Primary |
Addresses
Primary practice location
1 W Sample Rd
#201
Pompano Beach, FL 33064-3547
Mailing address
1 W Sample Rd
#201
Pompano Beach, FL 33064-3547
Phone (954) 782-3170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270704700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 E Sample Rd
Pompano Beach, FL 33064-3502
Phone (954) 941-8300
Hospital & facility affiliations
- Trust USA Home Health LLC
- Broward Health North
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS9136 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medicine Services, LLC. | Current | Accepting new patients | |
| North Broward Hospitalist Inc | Internal Medicine | Current | Accepting new patients |
| Firaz R Hosein DO PA | Internal Medicine | Past | Accepting new patients |
Locations
9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000
201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Boca Raton, FL
- NPI 1508873183
-
- Internal Medicine Physician
- Deerfield Beach, FL
- NPI 1275687261
-
- Hospitalist Physician
- Fort Lauderdale, FL
- NPI 1114193034
Internal Medicine
-
- Internal Medicine Physician
- Pompano Beach, FL
- NPI 1376732453
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pompano Beach, FL
- NPI 1376571323
-
- Emergency Care Clinic/Center
- Lighthouse Point, FL
- NPI 1720936792
Hospital
-
- Home Health Agency
- Plantation, FL
- NPI 1679717698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419811200000",
"number": "1417938499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W SAMPLE RD",
"address_2": "#201",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330643547",
"telephone_number": "954-782-3170",
"fax_number": "954-782-3171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W SAMPLE RD",
"address_2": "#201",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330643547",
"telephone_number": "954-782-3170",
"fax_number": "954-782-3171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPADHIAYA",
"first_name": "AMIT",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2014-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS9136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "270704700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.