Individual provider Active NPI

Sekhar C Upadhyayula, MD

  • Anesthesiology Physician
  • Forest Hills, NY
National Provider Identifier
1831100130
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
209101 Issued in NY
Practice address
10818 72ND Ave
1St Floor
Forest Hills, NY 11375-5339
Phone
(718) 544-1171
Fax
(718) 487-4171
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 209101 NY Primary

Addresses

Primary practice location

10818 72ND Ave
1St Floor
Forest Hills, NY 11375-5339

Mailing address

7211 Austin St
#481
Forest Hills, NY 11375-5354
Phone (212) 255-2333

Other identifiers 8

IdentifierTypeStateIssuer
0385TOtherNYEMPIRE BCBS
175973OtherNYELDERPLAN
3575367OtherNYAETNA USHC COMMERCIAL
202421242OtherNYHEALTH FIRST
1068641OtherNYAETNA USHC
202421242OtherNYUHC
01990601MedicaidNY
902285001OtherNYAMERICHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050504000472 NY Practitioner - AnesthesiologyPractitioner - General PracticePractitioner - Interventional Pain ManagementPractitioner - Pain Management 1658311162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9745 63Rd Dr
Unit 1D1E
Rego Park, NY 11374-2229
Phone (718) 544-1171

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Anesthesia Interventions, PC Anesthesiology Past Accepting new patients
Greenwich Medical Anesthesia, P.C. Anesthesiology Past Accepting new patients
Robert Bernholc MD PC Anesthesiology Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1831100130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 AUSTIN ST",
            "address_2": "#481",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755354",
            "telephone_number": "212-255-2333",
            "fax_number": "212-255-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10818 72ND AVE",
            "address_2": "1ST FLOOR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755339",
            "telephone_number": "718-544-1171",
            "fax_number": "718-487-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPADHYAYULA",
        "first_name": "SEKHAR",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "209101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "0385T",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "175973",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC COMMERCIAL",
            "identifier": "3575367",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "202421242",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC",
            "identifier": "1068641",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "202421242",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01990601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "902285001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.