Hinesh Upadhyay, M.D.
NPI 1144632944ActiveIndividual· Internal Medicine, Pulmonary Disease· East Orange, NJ
Internal Medicine, Pulmonary Disease (M.D.) with Advanced Cardiology LLC, practicing in East Orange, New Jersey. Mostly services rather than prescriptions: Medicare paid $50,675 for 159 patients in 2024, with only 13 Part D claims. Itamar Medical Inc was the largest of 2 companies reporting payments in 2025, $35.67 in all, mostly food and beverage. Lists Bayshore Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1144632944 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | May 28, 2014 |
| Last updated in NPPES | Aug 6, 2025 |
| Certified by provider | Aug 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | 25MA09477900 | NJ |
| Internal Medicine | 207R00000X | 25MA09477900 | NJ |
| Internal Medicine, Critical Care Medicine | 207RC0200X | 25MA09477900 | NJ |
| Internal Medicine, Pulmonary Disease | 207RP1001X | R8676 | TX |
| Internal Medicine, Sleep Medicine | 207RS0012X | 25MA09477900 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pulmonary Disease (NJ); Practitioner - Internal Medicine (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 159 |
|---|---|
| Services billed | 368 across 21 procedure codes |
| Paid by Medicare | $50,675 |
Part D prescriptions in 2024
| Prescriptions (claims) | 13 · 15 30-day fills |
|---|---|
| Total drug cost | $72.16 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Pulmonary Disease |
| Secondary specialties | Critical Care (Intensivists), Internal Medicine, Sleep Medicine |
| Telehealth | Offers telehealth |
Medical group
- Advanced Cardiology LLCNewton, NJ · 32 clinicians
Hospital affiliations
- Bayshore Medical CenterHolmdel, NJ
- Carewell Health Medical CenterEast Orange, NJ
- Jfk University Medical CenterEdison, NJ
- Raritan Bay Medical CenterPerth Amboy, NJ
- Saint Clare's Hospital/ Denville CampusDenville, NJ
Industry payments (Open Payments)
- 2025$35.67 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Itamar Medical Inc | $18.29 | 1 |
| Insmed, Inc. | $17.38 | 1 |
What the 2025 payments were for
- Food and Beverage$18.29 · 1 payment
- Education$17.38 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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