Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gautham Kadiyali Upadhya, MD, MPH

Individual provider Internal Medicine Physician · NPI 1447633805

Dr. Gautham Kadiyali Upadhya, MD, MPH is a Cardiovascular Disease (Cardiology) in Staten Island, New York. Qualified in 2023, 3 years ago. Practices with Amboy Medical Practice PC, a 173-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

1161 Victory Blvd
Staten Island, NY 10301-3621
Phone: (718) 818-7425
Fax: (855) 448-7807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Invasive Specialist/Technologist (primary) Taxonomy 246XC2901X
Internal Medicine Physician Taxonomy 207R00000X · Licence 294581 (NY)

Record details

NPI number1447633805
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedJuly 2, 2015
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Amboy Medical Practice Pc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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