NPPES file of Aug 9, 2026

Kiran K. Upadhyay, MD

Pediatric Nephrology Physician · Gainesville, FL

Kiran K. Upadhyay, MD is a pediatric nephrology physician with a practice address in Gainesville, Florida, and NPI 1588831291, issued on May 12, 2008. Check the license (Florida ME116049, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1588831291
Name
Kiran K. Upadhyay
Credential
MD
Primary taxonomy
Pediatric Nephrology Physician 2080P0210X
License numbers
ME116049 FL
263848 NY
Self-reported in NPPES; status is on the state search
Practice location
1600 SW Archer RD, Gainesville, FL 32610
Phone
(352) 265-7999
Enumerated
May 12, 2008
Record last updated
Jul 15, 2026
Medicaid IDs
008874100 FL
201029000 IN
7100170360 KY
Medicare enrollment
Enrolled (PECOS I20130626000752); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1600 SW Archer RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Patricia Abbitt, MDDiagnostic Radiology Physician1629040811
  2. Sherine AbdallaGastroenterology Physician1366862997
  3. Abdalla Abdelkader, MDCardiovascular Disease Physician1942087457
  4. Mahmoud AbdelsalamMedical Oncology Physician1912844531
  5. Garrett AbernathyStudent in an Organized Health Care Education/Training Program1215870894
  6. Emily Abernethy, MDFamily Medicine Physician1740970482

Verify Kiran K. Upadhyay in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license ME116049
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

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82% fewer Medicare Part D claims than the average pediatric nephrology physician in 2024

12 Medicare Part D claims, against an average of 67 among the 387 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.

  1. Kiran Upadhyay12
  2. Specialty average67

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 78.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score72.5
  2. Costout of 100 · 30%54.7
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $225.00

1 payment: compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program; the largest payer was Novartis Pharmaceuticals Corporation. The 297 providers of this specialty with any payment received $3,704.99 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Kiran Upadhyay$225.00
  2. Specialty average$3,704.99

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Florida Clinical Practice Association IncGainesville, FL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kiran K. Upadhyay among 61 pediatric nephrology physician records in Florida

Kiran K. Upadhyay, MD is one of 61 pediatric nephrology physician records with a practice address in Florida. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 56% of them.

  • NPI issued2008 · 56% of these records are older, 38% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 74% of these records are
  • Graduated2004 · median 2001 among the 45 with a school on file
  • Record last updated2026 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2080P0210X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pediatric Nephrology Physician providers in Florida

There are 61 pediatric nephrology physician records in Florida.

The 8 pediatric nephrology physician records with the nearest ZIP codes

  1. Eihab Alkhasawneh, M.D.Gainesville, FL 326101346486636
  2. Rasha AlyGainesville, FL 326101316566128
  3. Oluwadamilola Ejike, MDGainesville, FL 326101841633823
  4. Robert Fennell, MDGainesville, FL 326101679594386
  5. Eduardo Garin, MDGainesville, FL 326101053352062
  6. Susan Ingraham, MD, PHDGainesville, FL 326101841445921
  7. Robert Mathias, MDGainesville, FL 326101215965595
  8. Richard Neiberger, MD, PHDGainesville, FL 326101902847999

Common questions

What is Kiran K. Upadhyay, MD's NPI number?

Kiran K. Upadhyay, MD's National Provider Identifier (NPI) is 1588831291, issued on May 12, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Kiran K. Upadhyay, MD located?

The NPPES record lists a practice address at 1600 SW Archer RD, Gainesville, FL, 32610. Phone: (352) 265-7999. Providers update this record themselves, so call before visiting.

How can I verify Kiran K. Upadhyay, MD's license?

NPPES lists Florida license number ME116049, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Kiran K. Upadhyay, MD prescribe under Medicare Part D?

In 2024, Kiran K. Upadhyay, MD had 12 Medicare Part D claims; the average among pediatric nephrology physician prescribers was 67. Part D covers Medicare prescriptions only.

What is Kiran K. Upadhyay, MD's MIPS final score?

The 2023 MIPS final score is 78.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.