Utpal U Chakravorty, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38604 Issued in MN

Practice address

1282 Walnut St
Dawson, MN 56232-2333

Phone

(320) 312-2118

Fax

(320) 769-2972

NPI assigned

Jun 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Family Practice

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Appleton Area Health 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Appleton Area Health Hospital, Appleton, MN, CCN 241341

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: uchakravorty672410@direct.centracare.com

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.

• Appleton Area Health

  • Critical Access Hospital
  • Appleton, MN
  • NPI 1578590626

  MN

  Medicare reassignment Care Compare group
• Appleton Area Health

  • Rural Health Clinic/Center
  • Appleton, MN
  • NPI 1730126673

  MN

  Medicare reassignment Care Compare group
• Johnson Memorial Health Services

  • Critical Access Hospital
  • Dawson, MN
  • NPI 1093745051

  MN

  Medicare reassignment NPD
• Appleton Area Health

  • Nursing Facility/Intermediate Care Facility
  • Appleton, MN
  • NPI 1649333923
  Care Compare group NPD (past)
• Appleton Area Health

  • Skilled Nursing Facility
  • Appleton, MN
  • NPI 1558424838
  Care Compare group
• Johnson Memorial Health Services

  • Medicare Defined Swing Bed Hospital Unit
  • Dawson, MN
  • NPI 1770697260
  NPD
• St. Francis Medical Center

  • Critical Access Hospital
  • Breckenridge, MN
  • NPI 1891954574
  NPD (past)
• St Francis Medical Center

  • Rural Health Clinic/Center
  • Milnor, ND
  • NPI 1235215252
  NPD (past)

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

• Appleton Area Health

  • Critical Access Hospital
  • Appleton, MN
  • NPI 1578590626

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1295761641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6001",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581086001",
            "telephone_number": "701-364-6600",
            "fax_number": "701-364-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 WALNUT ST",
            "city": "DAWSON",
            "state": "MN",
            "postal_code": "562322333",
            "telephone_number": "320-312-2118",
            "fax_number": "320-769-2972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3902 13th Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581033357",
            "country_code": "US",
            "telephone_number": "701-364-6600",
            "fax_number": "701-364-6628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAKRAVORTY",
        "first_name": "UTPAL",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "38604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "909316800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Jo Augeson, RN, FNP
• Avera Marshall
• Lisa D Bojado, NP
• Mary Ann Bothun, RN
• Brown Clinic PLLP
• Jill Jocelyn Christie, C.F.N.P
• Erica Clark
• Dawson Drug PLLC
• Dawson Drug PLLC
• Divine House II Inc.

• All providers in Dawson, MN
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.

Verify at the official NPI Registry.