Umang M. Barvalia, MBBS
- 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
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Umang Barvalia's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
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
- 1578827242NPI Registry (opens in a new tab)
- 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
- Get number
- 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.
- Santa Clara Valley Medical Center751 South Bascom Avenue, San Jose, CA 95128 · Santa Clara CountyPhone(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.
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.
| Site | EHR vendor and product |
|---|---|
| Santa Clara Valley Medical Center | Available with a free account |
| +1 more site and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
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, WisconsinPrimary
- California license
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.
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.
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.
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.
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
- High blood pressure75%
- High cholesterol67%
- Diabetes49%
- COPD48%
- Heart failure44%
- Chronic kidney disease36%
- Ischemic heart disease36%
- 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.
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.
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.
Umang Barvalia's most frequent co-authors
- Barkha V. Amlani, MBBS1 shared paper
- Kevin Emmerich, MD1 shared paper
- Pierre D. Kory, MD1 shared paper
Recent publications by Umang Barvalia
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.
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
- 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.
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.
- Medical school
- Board certified in critical care medicine
- Board certified in internal medicine
- Board certified in pulmonary disease
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
- Medicare6
- PPO6
- EPO2
- HMO1
- Medicaid1
- POS1
Source: Dmand AI Insurance Network Data
Sources for Umang M. Barvalia's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Doctors 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-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand 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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