Individual provider

Madan Uprety, M.D.

Psychiatry Physician Medicare enrolled

Madan Uprety, M.D. is a Psychiatry Physician in Reston, VA, registered under NPI 1528109758.

Getting there

The practice address on file is 12359 SUNRISE VALLEY DR STE 320, Reston, VA 20191. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

12359 SUNRISE VALLEY DR STE 320, Reston, VA 20191 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
D0068401 MD Psychiatry Physician
48144 WI Psychiatry Physician
0101246930 VA Psychiatry Physician primary

Licences are recorded in 3 states: MD, WI, VA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Psychiatry
PAC ID
6406888163

Enrolled in Medicare 3 times, across 3 states:

StateEnrollment IDProvider type
Wisconsin I20050902000339 Practitioner - Psychiatry
District of Columbia I20090203000270 Practitioner - Psychiatry
Virginia I20140616000116 Practitioner - Psychiatry

Medicare enrolment is recorded as approved under the provider type Practitioner - Psychiatry. There are 3 separate enrolment records across 3 states (WI, DC, VA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: Maryland, Virginia and Wisconsin. The practice address on file is in Reston, VA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

MD Maryland
Licence
D0068401
Specialty
Psychiatry Physician
Verify with the MD board →
VA Virginia practice address
Licence
0101246930
Specialty
Psychiatry Physician
Verify with the VA board →
WI Wisconsin
Licence
48144
Specialty
Psychiatry Physician
Verify with the WI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Psychiatry covers

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. NUCC Health Care Provider Taxonomy, code 2084P0800X
Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2084P0800X Psychiatry Physician Psychiatry D0068401 MD
2084P0800X Psychiatry Physician Psychiatry 48144 WI
2084P0800X Psychiatry Physician Psychiatry 0101246930 VA primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1528109758 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 9, 2007
Last updatedFeb 23, 2022
StatusActive
Sole proprietorNo
GenderMale
CredentialM.D.
Practice address 12359 SUNRISE VALLEY DR STE 320
Reston, VA 20191
(703) 596-4796
Other identifiers 34667100 · Medicaid (WI)
The last update on file is Feb 23, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1528109758 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 2 8 1 0 9 7 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 4 8 2 0 9 7 1

Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1528109758?
NPI 1528109758 is the National Provider Identifier assigned to Madan Uprety, M.D. in Reston, VA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatry cover?
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of…
How do I contact Madan Uprety, M.D.?
The phone number on file with NPPES is (703) 596-4796, last updated Feb 23, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Madan Uprety, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1528109758 a valid number?
Yes. 1528109758 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.