NPIMap

Individual provider Active NPI

Utpal Kanti Dutta, MD

  • Nephrology Physician
  • Waldorf, MD
National Provider Identifier
1649428897
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D70833 Issued in MD
Practice address
10 St. Patrick's Drive
Waldorf, MD 20603-4527
Phone
(301) 705-7870
Fax
(301) 705-7628
NPI assigned
Aug 29, 2008
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D70833 MD Primary

Addresses

Primary practice location

10 St. Patrick's Drive
Waldorf, MD 20603-4527

Mailing address

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900

Other practice location 1

24035 Three Notch Road
Hollywood, MD 20636-4871
Phone (301) 373-7900

Other identifiers 12

IdentifierTypeStateIssuer
1649428897OtherMULTIPLAN, PHCS
1649428897OtherUNITED HEALTHCARE, MAMSI, MDIPA, OPTIMUM CHOICE
1649428897OtherMARYLAND PHYSICIANS CARE
1649428897OtherCIGNA
01366238OtherAMERIGROUP
1649428897OtherKAISER PERMANENTE
1649428897OtherTRICARE
F117 AND 0J48PAOtherCAREFIRST BLUECROSS BLUESHIELD
1649428897OtherCARE IMPROVEMENT PLUS
418952301MedicaidMD
522300606OtherMDPATUXENT NEPHROLOGY ASSOCIATES, LLC
1649428897OtherCOVENTRY HEALTH CARE OF DELAWARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100322000332 DC Practitioner - NephrologyPractitioner - Internal Medicine 4587799168 Reassigns benefits to 1 organization
I20101108000038 MD Practitioner - HospitalistPractitioner - NeurologyPractitioner - Internal MedicinePractitioner - Nephrology 4587799168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine, Neurology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

130 Hospital Rd
Suite 300
Prince Frederick, MD 20678-4057
Phone (410) 535-4333

24035 Three Notch Rd
Hollywood, MD 20636-4871

6710 Oxon Hill Rd
Suite 200
Oxon Hill, MD 20745-1124
Phone (301) 373-7900

7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000

900 E Swan Creek Rd
Medstar Shah Medical Group
Ft Washington, MD 20744-5250
Phone (301) 877-4564

950 E Swann Creek Rd
Fort Washington, MD 20744
Phone (301) 292-7270

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
61.45
Promoting interoperability
96
Improvement activities
40
Cost
79.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Mar 1, 2018 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Medstar Medical Group - Southern Maryland LLC Nephrology CurrentSince Feb 1, 2018 Accepting new patients
Anson J Joseph - Patuxent Nephrology Assoc LLC Nephrology PastSince Jul 19, 2010 Accepting new patients
Medstar Southern Maryland Physicians, LLC Past Accepting new patients

Locations

950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

130 Hospital Rd
Ste 300
Prince Frederick, MD 20678
Phone (410) 535-4333

10 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 705-7870

Interoperability endpoints

  • Direct secure messaging: udutta547964@direct.umm.edu
  • Direct secure messaging: utpal.duttamd.p2@direct.msmg.nextgenshare.com

Organizations & group practices 5

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

Hospital & facility affiliations 7

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": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1649428897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24035 THREE NOTCH RD",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206364871",
            "telephone_number": "301-373-7900",
            "fax_number": "301-373-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ST. PATRICK'S DRIVE",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034527",
            "telephone_number": "301-705-7870",
            "fax_number": "301-705-7628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24035 Three Notch Road",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "MD",
            "postal_code": "206364871",
            "country_code": "US",
            "telephone_number": "301-373-7900",
            "fax_number": "301-373-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUTTA",
        "first_name": "UTPAL",
        "middle_name": "KANTI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-29",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D70833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN, PHCS",
            "identifier": "1649428897",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE, MAMSI, MDIPA, OPTIMUM CHOICE",
            "identifier": "1649428897",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND PHYSICIANS CARE",
            "identifier": "1649428897",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1649428897",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01366238",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE",
            "identifier": "1649428897",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1649428897",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECROSS BLUESHIELD",
            "identifier": "F117 AND 0J48PA",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE IMPROVEMENT PLUS",
            "identifier": "1649428897",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418952301",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PATUXENT NEPHROLOGY ASSOCIATES, LLC",
            "identifier": "522300606",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH CARE OF DELAWARE",
            "identifier": "1649428897",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.