Umang Barvalia, MBBS
Pulmonary Disease Physician · Madison, WI
Umang Barvalia, MBBS is a pulmonary disease physician with a practice address in Madison, Wisconsin, and NPI 1578827242, issued on Jun 27, 2012. Check the license (Wisconsin 61411-20, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Umang Barvalia
- Credential
- MBBS
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License number
- 61411-20 WI
Self-reported in NPPES; status is on the state search - Practice location
- 600 Highland Ave, Madison, WI 53792
- Phone
- (608) 263-8023
- Enumerated
- Jun 27, 2012
- Record last updated
- Jan 6, 2017 (not updated in 9 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20190102002835); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 300 in Wisconsin → Look up another NPI →
Also registered at 600 Highland Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Umang Barvalia in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 61411-20Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
55% fewer Medicare Part D claims than the average pulmonary disease physician in 2024
647 Medicare Part D claims for 130 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 63% of claims.
Most prescribed
- Albuterol Sulfate Hfa76 claims
- Budesonide-Formoterol Fumarate54 claims
- Wixela Inhub39 claims
- Nucala30 claims
- Spiriva Handihaler30 claims
- Spiriva Respimat29 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 practice group's MIPS final score for 2023 (Medicare payment program): 80.6 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $39.68
2 payments; by number, the most common kind was food and beverage; the largest payer was Actelion Pharmaceuticals US, Inc. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
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
- County OF Santa ClaraSan Jose, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Umang Barvalia among 300 pulmonary disease physician records in Wisconsin
Umang Barvalia, MBBS is one of 300 pulmonary disease physician records with a practice address in Wisconsin. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 69% of them.
- NPI issued2012 · 69% of these records are older, 27% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 73% of these records are
- Graduated2010 · median 2003 among the 220 with a school on file
- Record last updated2017 · 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 207RP1001X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pulmonary Disease Physician providers in Wisconsin
There are 300 pulmonary disease physician records in Wisconsin.
All 300 in Wisconsin → Every provider in Madison → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Donita Croft, MDMadison, WI 537921508948688
- Loren Denlinger, MDMadison, WI 537921508827411
- Guillermo Dopico, MDMadison, WI 537921861460891
- Michael Eberlein, MDMadison, WI 537921568482362
- John Ferguson, MDMadison, WI 537921205823317
- Ellie Golestanian, MDMadison, WI 537921376500033
- Jeffrey Grossman, MDMadison, WI 537921619944782
- Nizar Jarjour, MDMadison, WI 537921700852654
Common questions
What is Umang Barvalia, MBBS's NPI number?
Umang Barvalia, MBBS's National Provider Identifier (NPI) is 1578827242, issued on Jun 27, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Umang Barvalia, MBBS located?
The NPPES record lists a practice address at 600 Highland Ave, Madison, WI, 53792. Phone: (608) 263-8023. Providers update this record themselves, so call before visiting.
How can I verify Umang Barvalia, MBBS's license?
NPPES lists Wisconsin license number 61411-20, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Umang Barvalia, MBBS prescribe under Medicare Part D?
In 2024, Umang Barvalia, MBBS had 647 Medicare Part D claims for 130 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Umang Barvalia, MBBS's MIPS final score?
The 2023 MIPS final score is 80.6 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.