NPPES file of Aug 9, 2026

Vivek A. Upadhyay, MD

Hematology & Oncology Physician · Philadelphia, PA

Vivek A. Upadhyay, MD is a hematology & oncology physician with a practice address in Philadelphia, Pennsylvania, and NPI 1366821282, issued on May 26, 2015. Check the license (Pennsylvania MD474355, as entered in NPPES) on the Pennsylvania Department of State (PALS); 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
1366821282
Name
Vivek A. Upadhyay
Credential
MD
Primary taxonomy
Hematology & Oncology Physician 207RH0003X
License number
MD474355 PA
Self-reported in NPPES; status is on the state search
Practice location
3400 Spruce Street, Philadelphia, PA 19104
Phone
(215) 615-0063
Enumerated
May 26, 2015
Record last updated
Nov 3, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(215) 349-8144
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 3400 Spruce Street

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

  1. Stephanie Abbuhl, MDEmergency Medicine Physician1649215195
  2. Shahrzad Abdollahi, M.D.Rheumatology Physician1518494178
  3. Sarah Abdulla, MDVascular & Interventional Radiology Physician1427342336
  4. Alice Abernathy, MDObstetrics & Gynecology Physician1740711498
  5. Mariam Aboian, M.D., PH.D.Diagnostic Radiology Physician1356669386
  6. Samir Abu Gazala, M.D.Surgery Physician1750708251

Verify Vivek A. Upadhyay in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD474355
    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 Pennsylvania license search

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98% fewer Medicare Part D claims than the average hematology & oncology physician in 2024

18 Medicare Part D claims, against an average of 877 among the 10,784 providers of this specialty who prescribed in Part D.

  1. Vivek Upadhyay18
  2. Specialty average877

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): 85.5 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 score73.6
  2. Costnot scored (reweighted)
  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).

Vivek A. Upadhyay among 784 hematology & oncology physician records in Pennsylvania

Vivek A. Upadhyay, MD is one of 784 hematology & oncology physician records with a practice address in Pennsylvania. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 78% of them.

  • NPI issued2015 · 78% of these records are older, 18% newer
  • In a Medicare fileYes · 83% of these records are
  • In the CMS Doctors and Clinicians fileNo · 71% of these records are
  • Record last updated2021 · 60% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RH0003X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Hematology & Oncology Physician providers in Pennsylvania

There are 784 hematology & oncology physician records in Pennsylvania.

The 8 hematology & oncology physician records with the nearest ZIP codes

  1. Roger Cohen, MDPhiladelphia, PA 191041639146939
  2. Nevena Damjanov, MDPhiladelphia, PA 191041518954395
  3. Andrew Dancis, MDPhiladelphia, PA 191041316988249
  4. Arthur Feldman, MDPhiladelphia, PA 191041518966357
  5. Patrick Fogarty, MDPhiladelphia, PA 191041528016052
  6. Steven Freedman, M.D./PH.D.Philadelphia, PA 191041417932757
  7. Alison Loren, MDPhiladelphia, PA 191041942241641
  8. Carlos Madamba, MDPhiladelphia, PA 191041811994866

Common questions

What is Vivek A. Upadhyay, MD's NPI number?

Vivek A. Upadhyay, MD's National Provider Identifier (NPI) is 1366821282, issued on May 26, 2015. An NPI identifies a provider in billing; it is not a license.

Where is Vivek A. Upadhyay, MD located?

The NPPES record lists a practice address at 3400 Spruce Street, Philadelphia, PA, 19104. Phone: (215) 615-0063. Providers update this record themselves, so call before visiting.

How can I verify Vivek A. Upadhyay, MD's license?

NPPES lists Pennsylvania license number MD474355, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Vivek A. Upadhyay, MD prescribe under Medicare Part D?

In 2024, Vivek A. Upadhyay, MD had 18 Medicare Part D claims; the average among hematology & oncology physician prescribers was 877. Part D covers Medicare prescriptions only.

What is Vivek A. Upadhyay, MD's MIPS final score?

The 2023 MIPS final score is 85.5 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.