Umang Barvalia, MBBS
NPI 1578827242ActiveIndividual· Internal Medicine, Pulmonary Disease· Madison, WI
Internal Medicine, Pulmonary Disease (MBBS) with County of Santa Clara, practicing in Madison, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $516,239 for 647 claims, against $54,596 paid for services in 2024. Actelion Pharmaceuticals US, Inc. reported $21.83 in payments in 2025, mostly food and beverage. Lists Santa Clara Valley Medical Center as a hospital affiliation.
Overview
| NPI | 1578827242 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MBBS |
| Sole proprietor | Yes |
| NPI issued | Jun 27, 2012 |
| Last updated in NPPES | Jan 6, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | 61411-20 | WI |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 (CA); Practitioner - Internal Medicine (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 244 |
|---|---|
| Services billed | 580 across 35 procedure codes |
| Paid by Medicare | $54,596 |
Part D prescriptions in 2024
| Prescriptions (claims) | 647 · 823 30-day fills |
|---|---|
| Patients | 130 |
| Total drug cost | $516,239 |
| Generic share | 37% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Pulmonary Disease |
| Secondary specialties | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- County of Santa ClaraSan Jose, CA · 1,022 clinicians
Hospital affiliation
- Santa Clara Valley Medical CenterSan Jose, CA
Industry payments (Open Payments)
- 2025$21.83 · 1 payment from 1 company
- 2024$39.68 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Actelion Pharmaceuticals US, Inc. | $21.83 | 1 |
What the 2025 payments were for
- Food and Beverage$21.83 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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