Active NPI
Utpalkumar Patel, M.D. PH.D.
- MOHS-Micrographic Surgery Physician
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- ME115939
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003077652 | Medicaid | FL |
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
Enrollment records 1
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
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 233 |
| Removal of skin lesions | 1850 |
| Removal of skin cancer | 1606 |
| Removal of nail tissue | 11 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1246 |
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.
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Center for Aesthetic Plastic Surgery PA | Dermatology | Current | Accepting new patients |
| Orbuch, Brand Dermatology Associates LLP | Dermatology | Past | 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
- upatel296209@direct.tgh.org
- https://api.platform.athenahealth.com/5878/brand/1/csg/1/fhir/r4
- 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.
-
- Dermatology Physician
- Brooksville, FL
- NPI 1679525653
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- MOHS-Micrographic Surgery Physician
- Bethpage, NY
- NPI 1992785117
Dermatology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooksville, FL
- NPI 1013961838
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.