Doctor profile · Federal record
Dr. Sanjay Upadhyay, M.D.
Family Medicine Physician (CMS: Family Practice) · Family Medicine Physician · Philadelphia, PA
- NPI 1538350053
- 20 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1741 Frankford Ave, Suite 100A
Philadelphia, PA 191252445
(215) 425-2424
fax (215) 425-0342 - Mailing address
-
2450 W Hunting Park Ave, 2Nd Floor Tpi
Philadelphia, PA 191291302
Credentials & registration
- NPI registered
- August 2007 — 19 yrs on file
- Profile last updated
- May 30, 2017
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- Pennsylvania #MD460862 · New York #253746
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1538350053. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,637
Distinct HCPCS
10
Medicare allowed
$104,009
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 232 | 190 | $104 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 213 | 166 | $150 | |
36415 |
Insertion of needle into vein for collection of blood sample | 177 | 149 | $8 | |
85025 |
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 122 | 112 | $7 | |
80053 |
Blood test, comprehensive group of blood chemicals | 112 | 107 | $10 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 67 | 67 | $150 | |
80061 |
Blood test, lipids (cholesterol and triglycerides) | 62 | 62 | $13 | |
99457 |
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 60 | 12 | $58 | |
96127 |
Assessment of emotional or behavioral problems | 57 | 48 | $6 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 55 | 52 | $17 |
In context: peer comparison
Among 166 peers in this city , average services per provider: 84. This provider delivers 19× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
701
Patients
348
Total drug cost
$10,309
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amlodipine Besylate | Generic | 100 | 55 | $678 |
| Atorvastatin Calcium | Generic | 96 | 52 | $1,377 |
| Fluticasone Propionate | Generic | 59 | 39 | $948 |
| Levothyroxine Sodium | Generic | 46 | 24 | $940 |
| Losartan Potassium | Generic | 43 | 21 | $358 |
| Metoprolol Succinate | Generic | 42 | 20 | $1,187 |
| Clotrimazole | Generic | 40 | 0 | $940 |
| Metformin Hcl | Generic | 40 | 17 | $709 |
| Omeprazole | Generic | 38 | 24 | $578 |
| Simvastatin | Generic | 37 | 16 | $294 |
Frequently asked questions
What is Dr. Sanjay Upadhyay's medical specialty?
Dr. Sanjay Upadhyay practices Family Medicine Physician in Philadelphia, PA.
Where does Dr. Sanjay Upadhyay practice?
Dr. Sanjay Upadhyay practices at 1741 Frankford Ave, Philadelphia, PA 191252445. Office phone: 2154252424.
What is Dr. Sanjay Upadhyay's NPI?
Dr. Sanjay Upadhyay's National Provider Identifier (NPI) is 1538350053, issued by NPPES.
Does Dr. Sanjay Upadhyay accept Medicare assignment?
Dr. Sanjay Upadhyay does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Sanjay Upadhyay commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Insertion of needle into vein for collection of blood sample (HCPCS 36415). Source: CMS Medicare Physician & Other Practitioners file.