Individual provider Active NPI

Usha Udupa, M.D.

  • Child & Adolescent Psychiatry Physician
  • Fort Collins, CO
National Provider Identifier
1912016718
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
42035 Issued in CO
Practice address
3800 Automation Way, Suite 102
Fort Collins, CO 80525
Phone
(970) 900-5835
Fax
(970) 387-7330
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 42035 CO Primary

Addresses

Primary practice location

3800 Automation Way, Suite 102
Fort Collins, CO 80525

Mailing address

Imagine by Northpoint Fort Collins
3800 Automation Way, Suite 102
Fort Collins, CO 80525
Phone (970) 900-5835

Other practice location 1

2260 W Trilby Rd
Fort Collins, CO 80526-9650
Phone (970) 494-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20040517000977 CO Practitioner - Psychiatry 7214927698 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42035COMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summitstone Health Partners CurrentSince Sep 22, 2025 Accepting new patients
Poudre Valley Health Care Inc CurrentSince Feb 1, 2004 Accepting new patients
Poudre Valley Health Care,Inc CurrentSince Feb 1, 2004 Accepting new patients
Longview Behavioral Health CurrentSince Sep 22, 2025 Accepting new patients
Poudre Valley Health Care Inc. Current Accepting new patients
Summitstone Health Partners Current Accepting new patients

Locations

1025 Pennock Pl
Ste 114
Fort Collins, CO 80524
Phone (970) 495-8800

1008 Patton St
Fort Collins, CO 80524
Phone (970) 494-5729

1025 Pennock Pl
Fort Collins, CO 80524
Phone (970) 495-8800

2315 E Harmony Rd
Ste 200
Fort Collins, CO 80528

4102 S Timberline Rd
Fort Collins, CO 80525
Phone (970) 494-5728

4601 Corbett Dr
Fort Collins, CO 80528
Phone (970) 207-4800

1025 Pennock Pl
Ste 121
Fort Collins, CO 80524
Phone (970) 495-8800

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

Organizations & group practices 6

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1912016718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "IMAGINE BY NORTHPOINT FORT COLLINS",
            "address_2": "3800 AUTOMATION WAY, SUITE 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-900-5835",
            "fax_number": "970-387-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 AUTOMATION WAY, SUITE 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-900-5835",
            "fax_number": "970-387-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2260 W Trilby Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805269650",
            "country_code": "US",
            "telephone_number": "970-494-4200",
            "fax_number": "844-270-1824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDUPA",
        "first_name": "USHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "42035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.