NPIMap

Individual provider Active NPI

Manish R Upadhyay, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Roseville, CA
National Provider Identifier
1962432039
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
C52329 Issued in CA
Practice address
508 Gibson Dr Ste 270
Roseville, CA 95678-5795
Phone
(916) 786-6727
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X C52329 CA Primary

Addresses

Primary practice location

508 Gibson Dr Ste 270
Roseville, CA 95678-5795

Mailing address

508 Gibson Dr Ste 270
Roseville, CA 95678-5795
Phone (916) 786-6727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080929000263 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 7315014669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

4860 Y St
Sacramento, CA 95817-2307

4861 Y St
Sacramento, CA 95817-2307
Phone (916) 734-2525

508 Gibson Dr
Suite 270
Roseville, CA 95678-5794

508 Gibson Dr
Suite 270
Roseville, CA 95678-5795
Phone (916) 786-6727

Hospital & facility affiliations

  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498
  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599
  • Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150

Merit-based Incentive Payment System (MIPS)

Final score
21.84 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.79

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C52329CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Manish Upadhyay, MD, Inc Endocrinology, Diabetes & Metabolism CurrentSince Jun 21, 2012 Accepting new patients
Regents of the Univ of Ca Endocrinology, Diabetes & Metabolism CurrentSince Aug 11, 2008 Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 11, 2008 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Medical Associates of Northern VA Inc Past Accepting new patients
Dignity Health Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Jayanthan.M.D.,P.a Past Accepting new patients

Locations

151 N Sunrise Ave
Ste 1103
Roseville, CA 95661
Phone (916) 740-0060

508 Gibson Dr
Ste 270
Roseville, CA 95678
Phone (916) 786-5727

2261 Douglas Blvd
Roseville, CA 95661
Phone (916) 783-1044

2521 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-1104

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

Organizations & group practices 10

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 6

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962432039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 GIBSON DR STE 270",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785795",
            "telephone_number": "916-786-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 GIBSON DR STE 270",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785795",
            "telephone_number": "916-786-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPADHYAY",
        "first_name": "MANISH",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-07-21",
        "certification_date": "2020-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "C52329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.