Umang M. Barvalia, MBBS

  • San Jose, CA
  • Pulmonologist
NPI1578827242PAC ID3779714381
Medicare services, 2024
517
Medicare patients, 2024
244
Part D claims, 2024
647
Publications
2
MIPS score, 2024
61
Practice address
751 South Bascom Avenue, San Jose, CA 95128
Practice phone
Call (408) 885-5000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Santa Clara Valley Medical Center

Hospital · San Jose, California

See all 4 affiliations

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Umang M. Barvalia is a pulmonologist in San Jose, California

Umang Barvalia practices at Santa Clara Valley Medical Center in San Jose, California, part of County of Santa Clara, CA.

Umang Barvalia's NPI, 1578827242, was assigned on June 27, 2012. Umang Barvalia graduated from Baroda Medical College in 2010. Umang Barvalia's Wisconsin license number on file is 61411-20.

NPI and contact details
Medicare PAC ID
3779714381
NPI enumeration date
June 27, 2012
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(408) 885-5000
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
42
Medical school graduation
2010

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Umang M. Barvalia practices at Santa Clara Valley Medical Center in San Jose, California

Umang Barvalia's primary practice is Santa Clara Valley Medical Center, at 751 South Bascom Avenue, San Jose, CA 95128 in Santa Clara County. The practice phone is (408) 885-5000.

Source: Dmand AI Affiliation Data

Umang M. Barvalia is affiliated with 2 sites of care and 2 medical groups

Umang Barvalia's primary practice is Santa Clara Valley Medical Center in San Jose, California, part of County of Santa Clara, CA. The medical group on file is County of Santa Clara Behavioral Health Services, Las Plumas Behavioral Health Clinic. Dmand AI also links Umang Barvalia to 1 more community health center and 1 medical group, each named with a free account.

See all 4 affiliations for Umang Barvalia

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Umang M. Barvalia's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Umang Barvalia practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Santa Clara Valley Medical CenterAvailable with a free account
+1 more site and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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Dmand AI maps EHR vendors, IT decision makers and buying committees across County of Santa Clara, CA and 6.2K+ hospitals, with verified contacts in the same login.

Umang M. Barvalia is one of 1,339 pulmonologists in California

Pulmonary disease is Umang Barvalia's primary specialty in the NPI Registry, under taxonomy code 207RP1001X. Umang Barvalia is board certified in critical care medicine by the American Board of Internal Medicine. Dmand AI has Umang Barvalia's licenses on file in 2 states: Wisconsin and California.

Specialties and state licenses

  • Pulmonary disease, WisconsinPrimaryLicense 61411-20 · 2013 to 2019 · taxonomy 207RP1001X
  • California license2018 to 2025

Clinical focus

Dmand AI lists asthma, chronic lung disease, chronic obstructive pulmonary disease (COPD), chronic respiratory failure, pulmonary fibrosis, pulmonary heart disease, sleep apnea and tobacco use among the conditions Umang Barvalia treats.

Pulmonologists near Umang Barvalia

Counts of pulmonologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Umang M. Barvalia billed Medicare for 517 services in 2024

CMS data shows 517 Medicare services from Umang Barvalia across 10 procedure codes in 2024, for 244 Medicare patients. Medicare paid $49,738 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024517
Medicare patients244
Paid by Medicare$49,738
Procedure codes10

Umang Barvalia's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 3442024: 38512%
Tests and treatments
2023: 762024: 13274%

Umang Barvalia compared with the California median for pulmonologists, 2024

  • Umang Barvalia
  • California median
Medicare services
517vs 64920% below
Medicare patients
244vs 27210% below
Part D claims
555vs 42132% above

Medians across 1,263 pulmonologists in California with Dmand AI profiles that report each measure.

Umang Barvalia's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Umang Barvalia

Need commercial claims for Umang Barvalia?

Medicare shows one payer. Book a meeting to get commercial claims data for Umang Barvalia and other pulmonologists in California.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Umang M. Barvalia treated 244 Medicare patients in 2024, average age 73

CMS counts 244 Medicare patients who saw Umang Barvalia in 2024. The largest group is 65 to 74, with 107 patients. 75% of them have high blood pressure, and 67% have high cholesterol. 84% are also on Medicaid. Their average risk score is 3.12, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Umang Barvalia's median patient age at 70, with 53% women.

Medicare patients, 2024244
Average age73
Average risk score3.12
Also on Medicaid84%

Umang Barvalia's Medicare patients by age, 2024

Umang Barvalia's Medicare patients by sex, 2024

  • Women11648%
  • Men12852%

Chronic conditions among Umang Barvalia's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol67%
  3. Diabetes49%
  4. COPD48%
  5. Heart failure44%
  6. Chronic kidney disease36%
  7. Ischemic heart disease36%
  8. Asthma34%

Share of Medicare patients with each condition. A patient can have several.

Umang Barvalia's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 70

Patient panel by sex, all payers

  • Women53%
  • Men47%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Umang M. Barvalia wrote 647 Medicare Part D claims in 2024

In 2024, Umang Barvalia wrote 647 Medicare Part D claims for 130 patients. 37% of them were for generic drugs. CMS names the drug for 555 of them, across 23 drugs with 11 or more claims each, at $478,876 in total drug cost. In 2023, CMS named 367 claims across 11 drugs.

Part D claims, 2024647
Drugs named by CMS23
Total drug cost$478,876
Part D patients130

Umang Barvalia's Part D claims by kind of drug, 2024

  • Generic238 claims37%
  • Brand-name409 claims63%

Umang Barvalia's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Umang Barvalia's Part D claims, 2024

  • Antibiotics4%28 of 647 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 3672024: 55551%

Drugs named by CMS: 23 in 2024, 11 in 2023.

See all prescribing by Umang Barvalia

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Umang M. Barvalia scored 61 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 61 out of 100 for Umang Barvalia for performance year 2024, reported as part of a group. Umang Barvalia accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Umang Barvalia as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Umang Barvalia's MIPS scores, performance year 2024

  • 61of 100Final score
  • 59.4of 100Quality
  • 0of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 71of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Umang M. Barvalia has 2 publications on record

Dmand AI links 2 papers to Umang Barvalia, published from 2014 to 2020. Umang Barvalia's most frequent co-authors are Barkha V. Amlani, MBBS, Kevin Emmerich, MD and Pierre D. Kory, MD.

Papers2
Years published2014 to 2020

Umang Barvalia's most frequent co-authors

Recent publications by Umang Barvalia

See all 2 publications and co-authors

See who Umang Barvalia researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Umang Barvalia works with, so you can find a warm path to the right pulmonologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Umang M. Barvalia received $62 in industry payments from 2024 to 2025

CMS Open Payments shows 3 general payments to Umang Barvalia from 2 drug and device companies from 2024 to 2025. Food and beverage make up the largest share, 74% of the total. Actelion Pharmaceuticals US, Inc. paid the most, $45.

General payments to Umang Barvalia by program year, 2024 to 2025

General payments to Umang Barvalia by kind, 2024 to 2025

$62in total
  • Food and beverage$4574%
  • Education$1626%

Companies that paid Umang Barvalia the most, 2024 to 2025

Share is of all general payments to this clinician.

See all payments to Umang Barvalia

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Umang M. Barvalia graduated from Baroda Medical College

Umang Barvalia graduated from Baroda Medical College in 2010.

  1. Medical schoolBaroda Medical College
  2. Board certified in critical care medicineAmerican Board of Internal Medicine
  3. Board certified in internal medicineAmerican Board of Internal Medicine
  4. Board certified in pulmonary diseaseAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Umang M. Barvalia accepts plans from 9 insurance carriers

Umang Barvalia is in network with 9 carriers, including Aetna, Blue Cross Blue Shield of Massachusetts and Elevance. Medicare plans come from the most carriers, 6. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Massachusetts
  • Elevance
  • HCSC
  • Regence Health Plans
  • Blue Cross Blue Shield of Michigan
  • CMS Medicare
  • Molina
  • +1 more carriersWith a free account

Plan types Umang Barvalia accepts, by number of carriers

  1. Medicare6
  2. PPO6
  3. EPO2
  4. HMO1
  5. Medicaid1
  6. POS1

Source: Dmand AI Insurance Network Data

Sources for Umang M. Barvalia's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Umang M. Barvalia

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Umang M. Barvalia's NPI number?

Umang M. Barvalia's NPI number is 1578827242. It was assigned on June 27, 2012, and it is active in the NPI Registry.

What does Umang M. Barvalia specialize in?

Umang M. Barvalia is a pulmonologist in San Jose, California. The primary specialty in the NPI Registry is Pulmonary Disease Physician (taxonomy code 207RP1001X).

Where does Umang M. Barvalia practice?

Umang Barvalia practices at 751 South Bascom Avenue, San Jose, CA 95128. Umang Barvalia's primary practice is Santa Clara Valley Medical Center in San Jose, California, part of County of Santa Clara, CA. Dmand AI also links Umang Barvalia to 1 community health center and 1 medical group.

What is Umang M. Barvalia's office phone number?

The practice phone on file for Umang Barvalia is (408) 885-5000.

What is Umang M. Barvalia's medical license number?

Umang Barvalia's Wisconsin license number on file is 61411-20, one of the licenses on file in 2 states.

Which states has Umang M. Barvalia been licensed in?

Dmand AI has state licenses on file for Umang Barvalia in Wisconsin (2013 to 2019) and California (2018 to 2025).

Which hospitals is Umang M. Barvalia affiliated with?

Umang Barvalia practices at Santa Clara Valley Medical Center in San Jose, California.

What medical group is Umang M. Barvalia part of?

Umang Barvalia is linked to County of Santa Clara Behavioral Health Services, Las Plumas Behavioral Health Clinic. Dmand AI links Umang Barvalia to 1 more medical group.

Does Umang M. Barvalia accept Medicare?

Yes. CMS data shows Umang Barvalia billed Medicare for 517 services in 2024, and Umang Barvalia accepts Medicare assignment.

Does Umang M. Barvalia offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Umang Barvalia as offering telehealth services.

Show 11 more questionsShow fewer questions

What is Umang M. Barvalia's MIPS score?

Umang Barvalia's MIPS final score for performance year 2024 is 61 out of 100, reported as part of a group.

How many Medicare patients does Umang M. Barvalia see?

CMS counts 244 Medicare patients who saw Umang Barvalia in 2024, with an average age of 73.

Is Umang M. Barvalia board certified?

Yes. Umang Barvalia is board certified in critical care medicine by the American Board of Internal Medicine.

What services does Umang M. Barvalia bill to Medicare?

In 2024, Umang Barvalia's most billed Medicare services were critical care (99291), office visit, established patient (99213) and hospital inpatient care (99233).

Where did Umang M. Barvalia go to medical school?

Umang Barvalia graduated from Baroda Medical College in 2010.

What drugs does Umang M. Barvalia prescribe most?

In 2024 Medicare Part D data, Umang Barvalia's most prescribed drugs by claims were Albuterol Sulfate Hfa, Budesonide-Formoterol Fumarate and Wixela Inhub.

Has Umang M. Barvalia received payments from drug or device companies?

CMS Open Payments shows $62 in general payments to Umang Barvalia from 2 companies from 2024 to 2025. The largest total came from Actelion Pharmaceuticals US, Inc.

How long has Umang M. Barvalia been practicing?

Umang Barvalia graduated from medical school in 2010, 16 years ago.

Does Umang M. Barvalia do research?

Dmand AI links 2 publications to Umang Barvalia, published from 2014 to 2020.

Who does Umang M. Barvalia publish with?

Umang Barvalia's most frequent co-authors are Barkha V. Amlani, MBBS (1 shared paper), Kevin Emmerich, MD (1 shared paper) and Pierre D. Kory, MD (1 shared paper).

What insurance does Umang M. Barvalia accept?

Umang Barvalia is in network with 9 carriers, including Aetna, Blue Cross Blue Shield of Massachusetts and Elevance. Medicare plans come from the most carriers, 6. Check the plan with the practice before a visit.

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