Individual provider

Prashant Upadhyaya, MD

Plastic and Reconstructive Surgery Physician Surgery Physician Surgery of the Hand (Plastic Surgery) Physician Medicare enrolled

Prashant Upadhyaya, MD is a Plastic and Reconstructive Surgery Physician in Round Rock, TX, registered under NPI 1861699506. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 301 SETON PKWY STE 103, Round Rock, TX 78665. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

301 SETON PKWY STE 103, Round Rock, TX 78665 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
P4722 TX Plastic and Reconstructive Surgery… primary
269241 NY Surgery Physician
5159 NE Surgery Physician
269241 NY Surgery of the Hand (Plastic Surgery)…
269241 NY Plastic and Reconstructive Surgery…

Licences are recorded in 3 states: TX, NY, NE. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Plastic And Reconstructive Surgery
PAC ID
0244465045
Enrollment ID
I20220808003319

Medicare enrolment is recorded as approved under the provider type Practitioner - Plastic And Reconstructive Surgery. 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: Nebraska, New York and Texas. The practice address on file is in Round Rock, TX, 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.

NE Nebraska
Licence
5159
Specialty
Surgery Physician
Verify with the NE board →
NY New York
Licence
269241
Specialty
Surgery Physician
Verify with the NY board →
TX Texas practice address
Licence
P4722
Specialty
Plastic and Reconstructive Surgery…
Verify with the TX 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 Plastic and Reconstructive Surgery covers

A surgeon who specializes in plastic and reconstructive surgery. NUCC Health Care Provider Taxonomy, code 2086S0122X
Allopathic & Osteopathic Physicians Surgery Plastic and Reconstructive Surgery

All registered taxonomy codes

This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2086S0122X Plastic and Reconstructive Surgery Physician Plastic and Reconstructive Surgery P4722 TX primary
208600000X Surgery Physician 269241 NY
208600000X Surgery Physician 5159 NE
2082S0105X Surgery of the Hand (Plastic Surgery) Physician Surgery of the Hand 269241 NY
2086S0122X Plastic and Reconstructive Surgery Physician Plastic and Reconstructive Surgery 269241 NY

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.

NPI1861699506 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 27, 2007
Last updatedAug 25, 2022
StatusActive
Sole proprietorNo
CredentialMD
Practice address 301 SETON PKWY STE 103
Round Rock, TX 78665
(512) 324-4815
Other identifiers 03586041 · Medicaid (NY)
The last update on file is Aug 25, 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

1861699506 passes the NPI check digit test The final digit 6 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 8 6 1 6 9 9 5 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 8 3 1 3 9 9 5 0

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

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 1861699506?
NPI 1861699506 is the National Provider Identifier assigned to Prashant Upadhyaya, MD in Round Rock, TX. 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 Plastic and Reconstructive Surgery cover?
A surgeon who specializes in plastic and reconstructive surgery.
How do I contact Prashant Upadhyaya, MD?
The phone number on file with NPPES is (512) 324-4815, last updated Aug 25, 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 Prashant Upadhyaya, MD 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 1861699506 a valid number?
Yes. 1861699506 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.