MUHAMMAD S UPPAL MD
NPI 1144589730
Internal Medicine in Jersey City, NJ
Quality Rating: 100 out of 100 score
NPI Status: Active since May 16, 2012
Contact Information
355 GRAND STREET
JERSEY CITY, NJ
ZIP 07302
Phone: (201) 915-2000
- Individual
- Male
- Years of Experience 21
- Internal Medicine
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About MUHAMMAD UPPAL
This page provides the complete NPI Profile along with additional information for Muhammad Uppal, an internist established in Jersey City, New Jersey with a medical specialization in Internal Medicine and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1144589730 assigned on May 2012. The practitioner's primary taxonomy code is 207R00000X with license number 25MA09201500 (NJ). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1144589730
- Provider Name
- MUHAMMAD S UPPAL MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 355 GRAND STREET JERSEY CITY, NJ 07302
- Location Phone
- (201) 915-2000
- Mailing Address
- 355 GRAND STREET JERSEY CITY, NJ 07302
- Mailing Phone
- (201) 915-2000
- Medical School Name
- OTHER
- Graduation Year
- 2005
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-16-2012
- Last Update Date
- 08-01-2013
- Code Navigator
An internist like Muhammad Uppal is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA09201500
- License State
- NJ
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 0101251474 (VA) |
Medicare Participation & PECOS Enrollment Status
Muhammad Uppal is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Muhammad Uppal is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1254589021
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20140410001055
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Advance care planning, first 30 minutes
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Initial hospital inpatient care per day, typically 70 minutes
New patient office or other outpatient visit, 30-44 minutes
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
This service was performed 18 times for 18 patientsThis is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
This service was performed 19 times for 18 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 59 times for 35 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 36 times for 17 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 53 times for 21 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 505 times for 106 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 66 times for 52 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 43 times for 43 patientsThis test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
This service was performed 66 times for 53 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $36.21 for a new patient copayment and $27.89 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 07302 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $144.86
- Minimum New Patient Price $63.84
- Maximum New Patient Price $190.92
- Average New Patient Copayment $36.21
- Minimum New Patient Copayment $15.96
- Maximum New Patient Copayment $47.73
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.57
- Minimum Established Patient Price $20.97
- Maximum Established Patient Price $155.92
- Average Established Patient Copayment $27.89
- Minimum Established Patient Copayment $5.24
- Maximum Established Patient Copayment $38.98
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 100 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 82.08
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Advance Care Planning | Yes | N/A |
| Implementation of practices/processes to develop advance care planning that includes: documenting the advance care plan or living will within the medical record, educating clinicians about advance care planning motivating them to address advance care planning needs of their patients, and how these needs can translate into quality improvement, educating clinicians on approaches and barriers to talking to patients about end-of-life and palliative care needs and ways to manage its documentation, as well as informing clinicians of the healthcare policy side of advance care planning. | ||
| Care Plan | 91% | 257 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Muhammad Uppal is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| NEWARK BETH ISRAEL MEDICAL CENTER | 201 LYONS AVE NEWARK, NJ 07112 | (973) 926-7850 | Acute Care Hospitals | |
| UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO | ONE-FIVE PLAINSBORO ROAD PLAINSBORO, NJ 08536 | (609) 853-6500 | Acute Care Hospitals | |
| JERSEY CITY MEDICAL CENTER | 355 GRAND STREET JERSEY CITY, NJ 07302 | (201) 915-2000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 4 | 4 | 5 | 8 | 9 | 7 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 10 | 8 | 18 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 1 + 0 + 8 + 1 + 8 + 7 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1144589730 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1689678039 | DR. JAMES H BROWN JR. M.D. Individual | Radiology (Diagnostic Radiology) | 355 GRAND STREET JERSEY CITY MEDICAL CENTER JERSEY CITY, NJ 07302 (732) 390-0040 |
| 1912952102 | STEVEN J. BIER MD Individual | Radiology (Diagnostic Radiology) | 355 GRAND STREET JERSEY CITY MEDICAL CENTER JERSEY CITY, NJ 07302 (732) 390-0040 |
| 1639114093 | DR. ANTHONY F. TRAMONTANA M.D. Individual | Radiology (Diagnostic Radiology) | 355 GRAND STREET JERSEY CITY MEDICAL CENTER JERSEY CITY, NJ 07302 (201) 418-1820 |
| 1336174275 | JANET MOTTA PA-C Individual | Physician Assistant (Surgical) | 355 GRAND STREET JERSEY CITY MEDICAL CENTER, DEPT. OF CT SURGERY JERSEY CITY, NJ 07302 (201) 915-2525 |
| 1033139779 | PATRICIA A. SCHRADER M.D. Individual | Surgery (Surgical Critical Care) | 355 GRAND STREET JERSEY CITY MEDICAL CENTER, DEPT. OF S JERSEY CITY, NJ 07302 (201) 915-2451 |
| 1720109564 | MR. JAMES MICHAEL MEYER RPAC Individual | Physician Assistant | 355 GRAND STREET EMERGENCY DEPARTMENT JERSEY CITY, NY 07302 (201) 915-2224 |
| 1639389208 | MRS. ALPA A SHETH PA Individual | Physician Assistant | 355 GRAND STREET JERSEY CITY, NJ 07302 (201) 915-8442 |
| 1295928737 | SHERWIN SCHRAG M.D. Individual | Surgery | 355 GRAND STREET JERSEY CITY, NJ 07302 (201) 915-2217 |
| 1497992820 | MARGO C PUCCIARELLI RPA-C Individual | Physician Assistant (Surgical) | 355 GRAND STREET JERSEY CITY MEDICAL CENTER, DEPT OF SURGERY- 3 EAST JERSEY CITY, NJ 07302 (201) 915-2000 |
| 1043338254 | DR. MEERA V KALE M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 355 GRAND STREET JERSEY CITY, NJ 07302 (201) 915-2000 |
| 1336680123 | GEORGE ANTHONY FAY PSYCHIATRIC-MENTAL H Individual | Nurse Practitioner (Psychiatric/Mental Health) | 355 GRAND STREET JERSEY CITY, NJ 07302 (201) 915-2356 |
| 1629565254 | MR. ABHISHIEK SETIA M.D. Individual | Student in an Organized Health Care Education/Training Program | 355 GRAND STREET JERSEY CITY, NJ 07302 (201) 915-2431 |
| 1558927954 | SHANICE PETERS MD Individual | Student in an Organized Health Care Education/Training Program | 355 GRAND STREET JERSEY CITY, NJ 07302 (201) 915-2431 |
| 1508421868 | MS. DEVANSHI PATEL M.D. Individual | Student in an Organized Health Care Education/Training Program | 355 GRAND STREET JERSEY CITY, NJ 07302 (201) 915-2431 |
| 1477132488 | NICOLE LEONIDA Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 355 GRAND STREET PHARMACY DEPARTMENT, FLOOR 2 JERSEY CITY, NJ 07302 (201) 915-2484 |
| 1114660180 | MISS UFUOMA ISIOMA OLORI M.D. Individual | Student in an Organized Health Care Education/Training Program | 355 GRAND STREET DEPARTMENT OF MEDICINE 1 EAST: RUTGERS HEALTH/JERSEY CI JERSEY CITY, NJ 07302 (201) 915-2431 |
| 1487395661 | CHRISTIAN MIGUEL GONZALEZ QUINONES MD Individual | Student in an Organized Health Care Education/Training Program | 355 GRAND STREET DEPARTMENT OF MEDICINE 1 EAST JERSEY CITY, NJ 07302 (201) 915-2431 |
| 1790305308 | DR. SHAYAN FAIQ M.D. Individual | Student in an Organized Health Care Education/Training Program | 355 GRAND STREET JERSEY CITY, NJ 07302 (201) 915-2000 |
| 1578133419 | MR. BIDHAN RAJ PAUDEL MD Individual | Student in an Organized Health Care Education/Training Program | 355 GRAND STREET JERSEY CITY, NJ 07302 (201) 915-2431 |
| 1689317984 | MR. JACOB OTU ENYIA M.D Individual | Student in an Organized Health Care Education/Training Program | 355 GRAND STREET DEPARTMENT OF MEDICINE 1 EAST JERSEY CITY, NJ 07302 (201) 915-2431 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144589730, enumerated in the NPI registry as an "individual" on May 16, 2012
The provider is located at 355 Grand Street Jersey City, Nj 07302 and the phone number is (201) 915-2000
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider has more than 21 years of experience.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $144.86 with an average copayment of $36.21 for new patient appointments. Established patients should expect a typical charge of $111.57 and an average copayment of 27.89. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Advance care planning, first 30 minutes, Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Initial hospital inpatient care per day, typically 70 minutes, New patient office or other outpatient visit, 30-44 minutes and Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected.
The practitioner is affiliated to the following hospital(s): NEWARK BETH ISRAEL MEDICAL CENTER, UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO and JERSEY CITY MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on May 16, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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