NPIMap

Individual provider Active NPI

Ashish Upadhyay, MD

  • Orthopaedic Surgery of the Spine Physician
  • Waterbury, CT
National Provider Identifier
1689873457
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
54595 Issued in CT
Practice address
1389 W Main St Ste 123
Waterbury, CT 06708-3104
Phone
(475) 337-7463
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 54595 CT Primary

Addresses

Primary practice location

1389 W Main St Ste 123
Waterbury, CT 06708-3104

Mailing address

8 Banbury Cres
Unionville, CT 06085-1187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, ME2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151029002325 CT Practitioner - Orthopedic Surgery 1355597345 Reassigns benefits to 3 organizations
I20240724002328 ME Practitioner - Orthopedic Surgery 1355597345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

169 Middle St
Bristol, CT 06010-7404
Phone (475) 337-7463

Hospital & facility affiliations

  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035
  • Bristol Hospital Hospital, Bristol, CT, CCN 070029
  • Charlotte Hungerford Hospital Hospital, Torrington, CT, CCN 070011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion31
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Dec 20, 2021 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Dec 20, 2021 Accepting new patients
Connecticut Back Center LLC Orthopaedic Surgery CurrentSince May 20, 2023 Accepting new patients
Connecticut Advanced Spine LLC Orthopaedic Surgery CurrentSince Apr 4, 2023 Accepting new patients
Connecticut Back Center LLC CurrentSince May 20, 2023 Accepting new patients
St. Joseph Hospital CurrentSince Jun 9, 2024 Accepting new patients
Chiropractic Health Center of Bristol Past Accepting new patients
Adena Medical Group LLC Orthopaedic Surgery Past Accepting new patients

Locations

169 Middle St
Bristol, CT 06010
Phone (475) 337-7463

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

11 South Rd
Ste 200
Farmington, CT 06032
Phone (860) 246-4000

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

34 Professional Park Rd
Storrs Mansfield, CT 06268
Phone (860) 429-2803

460 Hartford Tpke
Ste B
Vernon Rockville, CT 06066
Phone (860) 872-6229

1389 W Main St
Ste 123
Waterbury, CT 06708
Phone (203) 755-5555

360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703

360 Broadway
Ste 306
Bangor, ME 04401
Phone (207) 907-3650

Interoperability endpoints

  • Direct secure messaging: ashish.upadhyay.1@29493.direct.athenahealth.com
  • Direct secure messaging: aupadhyay2389221@direct.trinity-health.org

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1689873457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BANBURY CRES",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 W MAIN ST STE 123",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083104",
            "telephone_number": "475-337-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPADHYAY",
        "first_name": "ASHISH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CT",
            "license": "54595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.