Doctor profile · Federal record
Dr. Hinesh Upadhyay, M.D.
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Internal Medicine Physician · Critical Care Medicine (Internal Medicine) Physician · Pulmonary Disease Physician · Sleep Medicine (Internal Medicine) Physician · East Orange, NJ
- NPI 1144632944
- Accepts Medicare
- 21 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
300 Central Ave
East Orange, NJ 070182819
(973) 672-8400 - Additional location
-
65 James St
Edison, NJ 08820
(732) 321-7935 - Mailing address
-
873 US Route 1 # 1092
North Brunswick, NJ 089023345
Credentials & registration
- NPI registered
- May 2014 — 12 yrs on file
- Profile last updated
- August 6, 2025
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State licenses (2)
- New Jersey #25MA09477900 · Texas #R8676
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1144632944. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
546
Distinct HCPCS
7
Medicare allowed
$91,927
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99291 |
Critical care, first 30-74 minutes | 261 | 137 | $226 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 118 | 76 | $84 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 70 | 51 | $125 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 34 | 34 | $181 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 32 | 32 | $137 | |
31500 |
Emergent insertion of breathing tube into windpipe using an endoscope | 18 | 17 | $149 | |
36556 |
Insertion of non-tunneled central venous tube for infusion (5 years or older) | 13 | 11 | $90 |
In context: peer comparison
Among 1 peers in East Orange Pulmonary Disease Physician, average services per provider: 78. This provider delivers 7.0× the peer median.Frequently asked questions
What is Dr. Hinesh Upadhyay's medical specialty?
Dr. Hinesh Upadhyay practices Pulmonary Disease Physician in East Orange, NJ.
Where does Dr. Hinesh Upadhyay practice?
Dr. Hinesh Upadhyay practices at 300 Central Ave, East Orange, NJ 070182819. Office phone: 9736728400.
What is Dr. Hinesh Upadhyay's NPI?
Dr. Hinesh Upadhyay's National Provider Identifier (NPI) is 1144632944, issued by NPPES.
Does Dr. Hinesh Upadhyay accept Medicare assignment?
Yes. Dr. Hinesh Upadhyay accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Hinesh Upadhyay commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233). Source: CMS Medicare Physician & Other Practitioners file.