Quick answers
- Does Hinesh Upadhyay accept Medicare assignment?
- Yes. Medicare's clinician data says Hinesh Upadhyay accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Hinesh Upadhyay see?
- In 2024, CMS data shows 159 Original Medicare patients and 368 services for Hinesh Upadhyay. This counts Original Medicare only and measures volume, not quality.
- What is Hinesh Upadhyay's NPI number?
- 1144632944. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Hinesh Upadhyay, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 159 |
|---|---|
| Services billed to Medicare | 368 |
| Different services or procedures | 21 |
| Participating Medicare provider | Yes |
| Average age of these patients | 77 |
Most frequent services
- Critical care, first 30-74 minutes (99291)173 services
- Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)74 services
- Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)19 services
- Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)17 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Diabetes66%
- Ischemic heart disease52%
- Heart failure52%
- Chronic kidney disease48%
Hospitals where Hinesh Upadhyay works
Medicare's Facility Affiliation Data lists Hinesh Upadhyay at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Bayshore Medical CenterHolmdel, NJ · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 310112
- Carewell Health Medical CenterEast Orange, NJ · Acute Care Hospital · Medicare rating: 1 of 5 stars · Emergency services: listed by Medicare · CCN 310083
- JFK University Medical CenterEdison, NJ · Acute Care Hospital · Medicare rating: 3 of 5 stars · Emergency services: listed by Medicare · CCN 310108
- Raritan Bay Medical CenterPerth Amboy, NJ · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 310039
- Saint Clare's Hospital/ Denville CampusDenville, NJ · Acute Care Hospital · Medicare rating: 2 of 5 stars · Emergency services: listed by Medicare · CCN 310050
Practice locations
Addresses where Hinesh Upadhyay is enrolled with Medicare (CMS data updated October 2, 2026).
- 122 James StEdison, NJ 08820 (551) 775‑1820
- 65 Ridgedale AveCedar Knolls, NJ 07927 (973) 401‑1100
Group practices
Medicare enrollment lists Hinesh Upadhyay as a member of this group (CMS data updated October 2, 2026).
- Advanced Cardiology LLC32 clinicians in the group
Specialties
- Pulmonary Diseaseprimary
- Critical Care (Intensivists)also
- Internal Medicinealso
- Sleep Medicinealso
Other pulmonologists in Edison
Clinicians with the same Medicare primary specialty in Edison, NJ — not a recommendation.
Other clinicians in Advanced Cardiology LLC
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | MD |
|---|---|
| Graduation year | 2005 (21 years since medical school) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| Telehealth | Offers telehealth services |
| NPI (National Provider Identifier) | 1144632944 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians