Individual provider Active NPI

Shital-Hiten Jitendra Upadhyay, MD

  • Emergency Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1700823846
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME80430 Issued in FL
Practice address
640 Tyrone Blvd N
St Petersburg, FL 33710-7126
Phone
(727) 528-7827
Fax
(727) 235-0063
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME80430 FL Primary

Addresses

Primary practice location

640 Tyrone Blvd N
St Petersburg, FL 33710-7126

Mailing address

640 Tyrone Blvd N
St Petersburg, FL 33710-7126
Phone (727) 528-7827

Other practice location 1

6182 Gunn Hwy
Tampa, FL 33625-4014
Phone (813) 568-4388

Other identifiers 1

IdentifierTypeStateIssuer
930093707OtherFLRAILROAD MEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060201000436 FL Practitioner - Emergency Medicine 5890709521 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Urgent Care ServicesGroup PAC ID 2961628615, 6 clinicians

Practice addresses (Care Compare)

640 Tyrone Blvd N
St. Petersburg, FL 33710-7126
Phone (727) 528-7827

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Professional Urgent Care Services CurrentSince May 26, 2014 Accepting new patients
Emergency Physicians of St Petersburg PA Emergency Medicine CurrentSince Nov 1, 2013 Accepting new patients
Emergency Services of Zephyrhills PA Emergency Medicine CurrentSince Sep 27, 2025 Accepting new patients
Emergency Physicians of Pinellas PA Emergency Medicine CurrentSince Dec 20, 2018 Accepting new patients
Tampa General Hospital Current Accepting new patients
Professional Urgent Care Services Current Accepting new patients
Oakfield Drive Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Pride Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Sunshine City Emergency Physicians Emergency Medicine Past Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients
Advance Technological Radiology, PA Past Accepting new patients
Emergency Physician Specialists Inc Emergency Medicine PastSince Feb 1, 2013 Accepting new patients
Maritime ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients

Locations

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3070 Grand Ave
Pinellas Park, FL 33782
Phone (727) 553-7300

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

6500 38th Ave N
St Petersburg, FL 33710
Phone (727) 341-4870

640 Tyrone Blvd N
St Petersburg, FL 33710
Phone (727) 347-6577

6182 Gunn Hwy
Tampa, FL 33625
Phone (813) 568-4388

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

Interoperability endpoints

  • Direct secure messaging: supadhyay339444@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1700823846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 TYRONE BLVD N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337107126",
            "telephone_number": "727-528-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 TYRONE BLVD N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337107126",
            "telephone_number": "727-528-7827",
            "fax_number": "727-235-0063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6182 Gunn Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336254014",
            "country_code": "US",
            "telephone_number": "813-568-4388",
            "fax_number": "813-908-0127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPADHYAY",
        "first_name": "SHITAL-HITEN",
        "middle_name": "JITENDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME80430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930093707",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.