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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

NPI1649254848
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedDec 1, 2005
Last updated in NPPESJan 7, 2022

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Cardiovascular Disease (Cardiology) (GA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients64
Services billed109 across 20 procedure codes
Paid by Medicare$7,034

Part D prescriptions in 2024

Prescriptions (claims)832 · 2,087 30-day fills
Patients174
Total drug cost$83,420
Generic share85% of claims

Medicare sources and data years

Education and affiliations

Medical schoolWayne State University School of Medicine
Graduation year1998
Medicare specialtyCardiovascular Disease (Cardiology)
Secondary specialtiesPeripheral Vascular Disease

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$220,392 · 3 payments from 1 company

Top paying companies in 2025

CompanyAmountPayments
Edwards Lifesciences Corporation$220,3923

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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