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Pulmonary Disease

Shivanck Upadhyay, MD

Works at hospitals in Paterson, NJ · New Jersey

Summary

Dr. Shivanck Upadhyay, MD is a pulmonologist at 1414 N Taylor Dr, Sheboygan, WI 53081. Phone: (920) 320-2436. Accepts Medicare assignment. In 2024, Shivanck Upadhyay had 149 Original Medicare patients and 408 services. NPI 1376815647. Source: CMS National Downloadable File, updated October 2, 2026; CMS Facility Affiliation Data, updated October 2, 2026; CMS Medicare Physician & Other Practitioners, data year 2024.

  • Specialty: Pulmonologist (Medicare lists Pulmonary Disease)
  • Address: 1414 N Taylor Dr, Sheboygan, WI 53081 · Directions (3 more locations)
  • Phone: (920) 320‑2436
  • Medicare: Accepts Medicare assignment
  • Hospital: St Joseph's University Medical Center Inc
  • Group practice: OSF Multi-Specialty Group (+2 more)
  • Medical school: graduated 1998 (28 years since medical school)
  • Gender (as listed): Male
  • Telehealth: offered

From official Medicare data

This page shows what Medicare's official clinician data says about Shivanck Upadhyay, joined by NPI number (data updated October 2, 2026). It is not a recommendation or a rating. Call the office or hospital to confirm before you go.

In a medical emergency, call 911.

Quick answers

Does Shivanck Upadhyay accept Medicare assignment?
Yes. Medicare's clinician data says Shivanck 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 Shivanck Upadhyay see?
In 2024, CMS data shows 149 Original Medicare patients and 408 services for Shivanck Upadhyay. This counts Original Medicare only and measures volume, not quality.
What is Shivanck Upadhyay's NPI number?
1376815647. 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 Shivanck 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 patients149
Services billed to Medicare408
Different services or procedures18
Participating Medicare providerYes
Average age of these patients76

Most frequent services

  1. Critical care, first 30-74 minutes (99291)158 services
  2. Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)68 services
  3. Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)48 services
  4. Critical care, each additional 30 minutes (99292)45 services
  5. Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)40 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%
  • Diabetes70%
  • Ischemic heart disease64%
  • Heart failure61%
  • Chronic kidney disease55%

Hospitals where Shivanck Upadhyay works

Medicare's Facility Affiliation Data lists Shivanck 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.

Practice locations

Addresses where Shivanck Upadhyay is enrolled with Medicare (CMS data updated October 2, 2026).

Group practices

Medicare enrollment lists Shivanck Upadhyay as a member of these groups (CMS data updated October 2, 2026).

  • OSF Multi-Specialty Group2,114 clinicians in the group
  • St Josephs Medical Group PC216 clinicians in the group
  • Froedtert Manitowoc Medical Group, LLC156 clinicians in the group

Specialties

Find other Pulmonary Disease doctors in Wisconsin →

Other pulmonologists in Sheboygan

Clinicians with the same Medicare primary specialty in Sheboygan, WI — not a recommendation.

All pulmonologists in Sheboygan →

Other clinicians in OSF Multi-Specialty Group

Medicare enrollment lists these clinicians in the same group practice — not a recommendation.

Clinician information

CredentialMD
Graduation year1998 (28 years since medical school)
Gender (as listed)Male
Medicare assignmentAccepts (Medicare-approved amount as full payment)
TelehealthOffers telehealth services
NPI (National Provider Identifier)1376815647
CorrectionsReport 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

  1. Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
  2. Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
  3. National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
  4. Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
  5. NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
  6. Medicare Care Compare — official Medicare tool to look up clinicians