Individual provider Active NPI

Utpalkumar Patel, M.D. PH.D.

  • MOHS-Micrographic Surgery Physician
  • Brooksville, FL
National Provider Identifier
1003077652
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME115939 Issued in FL
Practice address
17222 Hospital Blvd Ste 346
Brooksville, FL 34601-8925
Phone
(352) 796-3334
NPI assigned
Jun 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME115939 FL
Procedural Dermatology Physician 207NS0135X ME115939 FL
MOHS-Micrographic Surgery Physician 207ND0101X ME115939 FL Primary

Addresses

Primary practice location

17222 Hospital Blvd Ste 346
Brooksville, FL 34601-8925

Mailing address

17222 Hospital Blvd Ste 346
Brooksville, FL 34601-8925

Other identifiers 1

IdentifierTypeStateIssuer
1003077652MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130514000299 FL Practitioner - Dermatology 7517145071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Temple University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Aesthetic Plastic Surgery PAGroup PAC ID 4284739079, 7 clinicians

Practice addresses (Care Compare)

17222 Hospital Blvd
Suite 346
Brooksville, FL 34601-8925
Phone (352) 796-3334

5915 W Gulf to Lake Hwy
Lotus Dermatology
Crystal River, FL 34429-7565
Phone (352) 796-3334

8425 Northcliffe Blvd
Suite 102
Spring Hill, FL 34606-1107
Phone (352) 796-3334

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision233
Removal of skin lesions1850
Removal of skin cancer1606
Removal of nail tissue11
Removal or shaving of skin growth1-10
Skin biopsy1246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Center for Aesthetic Plastic Surgery PA Dermatology CurrentSince Sep 1, 2014 Accepting new patients
Orbuch, Brand Dermatology Associates LLP Dermatology PastSince May 13, 1997 Accepting new patients

Locations

17222 Hospital Blvd
Ste 346
Brooksville, FL 34601
Phone (352) 593-5963

5915 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 794-3872

8425 Northcliffe Blvd
Ste 102
Spring Hill, FL 34606
Phone (352) 596-1040

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: upatel296209@direct.tgh.org
  • FHIR API: https://api.platform.athenahealth.com/5878/brand/1/csg/1/fhir/r4
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1003077652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17222 HOSPITAL BLVD STE 346",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018925",
            "fax_number": "352-796-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17222 HOSPITAL BLVD STE 346",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018925",
            "telephone_number": "352-796-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "UTPALKUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME115939",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME115939",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME115939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003077652",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.