Utpal H. Pandya, MD
NPI 1649254848ActiveIndividual· Internal Medicine, Cardiovascular Disease· Atlanta, GA
Internal Medicine, Cardiovascular Disease (MD) in Atlanta, Georgia, trained at Wayne State University School of Medicine (class of 1998). Their prescriptions cost Medicare Part D more than their services did: $83,420 for 832 claims, against $7,034 paid for services in 2024. Edwards Lifesciences Corporation reported $220,392 in payments in 2025, mostly acquisitions.
Overview
| NPI | 1649254848 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Dec 1, 2005 |
| Last updated in NPPES | Jan 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | 064696 | GA |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 35086955 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Cardiovascular Disease (Cardiology) (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 64 |
|---|---|
| Services billed | 109 across 20 procedure codes |
| Paid by Medicare | $7,034 |
Part D prescriptions in 2024
| Prescriptions (claims) | 832 · 2,087 30-day fills |
|---|---|
| Patients | 174 |
| Total drug cost | $83,420 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | Wayne State University School of Medicine |
|---|---|
| Graduation year | 1998 |
| Medicare specialty | Cardiovascular Disease (Cardiology) |
| Secondary specialties | Peripheral Vascular Disease |
Medical group
- The Southeast Permanente Medical GroupJonesboro, GA · 812 clinicians
Hospital affiliation
- Saint Joseph's Hospital of Atlanta, IncAtlanta, GA
Industry payments (Open Payments)
- 2025$220,392 · 3 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Edwards Lifesciences Corporation | $220,392 | 3 |
What the 2025 payments were for
- Acquisitions$220,392 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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