Niraj Upadhayay, MD
Hospitalist Physician · Edgewood, KY
Niraj Upadhayay, MD is a hospitalist physician with a practice address in Edgewood, Kentucky, and NPI 1497947964, issued on Aug 17, 2007. Check the license (Kentucky 46322, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Niraj Upadhayay
- Credential
- MD
- Primary taxonomy
- Hospitalist Physician 208M00000X
- License numbers
- 46322 KY
036125356 IL
Self-reported in NPPES; status is on the state search - Practice location
- 1 Medical Village Dr, Edgewood, KY 41017
- Phone
- (859) 301-8074
- Enumerated
- Aug 17, 2007
- Record last updated
- Mar 15, 2022
- Fax
- (859) 301-4945
- Medicaid IDs
- 7100259620 KY
036125356 IL
0087703 OH - Medicare enrollment
- Enrolled (PECOS I20130802000783); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest hospitalist physician records → All 302 in Kentucky → Look up another NPI →
Also registered at 1 Medical Village Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Joshua Abell, MDEmergency Medicine Physician1578983508
- Adrian AcostaHospitalist Physician1609436070
- Braxton Adkins, M.D.Anesthesiology Physician1780115253
- Jordan Adler, M.D.Hospitalist Physician1255711800
- Masroor Alam, MDAnesthesiology Physician1720069388
- Sajen Alexander, DOAnesthesiology Physician1992265466
Verify Niraj Upadhayay in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 46322Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
4% more Medicare Part D claims than the average hospitalist physician in 2024
542 Medicare Part D claims for 197 beneficiaries, against an average of 521 among the 21,613 providers of this specialty who prescribed in Part D. 27 claims were for opioids.
Most prescribed
- Pantoprazole Sodium29 claims
- Atorvastatin Calcium25 claims
- Furosemide25 claims
- Ondansetron Hcl25 claims
- Metoprolol Succinate21 claims
- Prednisone20 claims
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 MIPS final score for 2023 (Medicare payment program): 90.4 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Summit Medical Group IncEdgewood, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Niraj Upadhayay among 302 hospitalist physician records in Kentucky
Niraj Upadhayay, MD is one of 302 hospitalist physician records with a practice address in Kentucky. 92% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 20% of them.
- NPI issued2007 · 20% of these records are older, 73% newer
- In a Medicare fileYes · 92% of these records are
- In the CMS Doctors and Clinicians fileYes · 82% of these records are
- Graduated2005 · median 2011 among the 248 with a school on file
- Record last updated2022 · 37% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208M00000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
42 hospitalist physician records list a practice address in Edgewood
They are 42 of the 1,159 NPPES records with a practice address in Edgewood, and 302 hospitalist physician records in Kentucky.
All 302 in Kentucky → Every provider in Edgewood → Hospitalist Physician nationwide →
The 8 hospitalist physician records with the nearest ZIP codes
- Tarek Anjari, MDCrescent Springs, KY 410171285692459
- Bradley Bankers, M.D.Edgewood, KY 410171700900636
- Kevin Connelly, MDEdgewood, KY 410171740204809
- Farzin Foruhari, MDEdgewood, KY 410171942249594
- Kevin Goetz, M.D.Edgewood, KY 410171508821737
- Alice Hall, MDEdgewood, KY 410171033105879
- Todd Ignarski, MDEdgewood, KY 410171801841663
- Ashok Jarkani, M.D.Edgewood, KY 410171427171081
Common questions
What is Niraj Upadhayay, MD's NPI number?
Niraj Upadhayay, MD's National Provider Identifier (NPI) is 1497947964, issued on Aug 17, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Niraj Upadhayay, MD located?
The NPPES record lists a practice address at 1 Medical Village Dr, Edgewood, KY, 41017. Phone: (859) 301-8074. Providers update this record themselves, so call before visiting.
How can I verify Niraj Upadhayay, MD's license?
NPPES lists Kentucky license number 46322, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Niraj Upadhayay, MD prescribe under Medicare Part D?
In 2024, Niraj Upadhayay, MD had 542 Medicare Part D claims for 197 beneficiaries; the average among hospitalist physician prescribers was 521. Part D covers Medicare prescriptions only.
What is Niraj Upadhayay, MD's MIPS final score?
The 2023 MIPS final score is 90.4 of 100. 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.