Center for Aesthetic Plastic Surgery PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME73174 Issued in FL

Legal business name

CENTER FOR AESTHETIC PLASTIC SURGERY PA

Practice address

17222 Hospital Blvd Ste 346
Brooksville, FL 34601-8925

Phone

(352) 796-3334

Fax

(352) 796-3323

NPI assigned

May 17, 2006

Last updated

Dec 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Utpalkumar Patel, M.D., PHDNPI 1003077652

Title

Owner

Phone

(352) 796-3334

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Utpalkumar Patel, M.D. PH.D.

  • MOHS-Micrographic Surgery Physician
  • Brooksville, FL
  • NPI 1003077652

  Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Sailesh Konda, M.D.

  • MOHS-Micrographic Surgery Physician
  • Brooksville, FL
  • NPI 1104051515

  Dermatology

  Medicare reassignment Care Compare group NPD
• James C. Mauch, M.D.

  • Dermatology Physician
  • Brooksville, FL
  • NPI 1235124967
  Medicare reassignment Care Compare group NPD
• Rishi R Patel, M.D.

  • Dermatopathology Physician
  • Brooksville, FL
  • NPI 1588875819

  Dermatology

  Medicare reassignment Care Compare group NPD
• Raja Sawhney, MD

  • Otolaryngology Physician
  • Brooksville, FL
  • NPI 1962612184
  Medicare reassignment Care Compare group NPD
• Vidhi Shah, M.D.

  • Dermatology Physician
  • Brooksville, FL
  • NPI 1932632239
  Medicare reassignment Care Compare group NPD
• Terri Beck, PA-C

  • Dermatology Physician
  • Brooksville, FL
  • NPI 1114916301
  Medicare reassignment Care Compare group
• Mary Jacubec

  • Physician Assistant
  • Brooksville, FL
  • NPI 1134082266

  Dermatology

  Medicare reassignment NPD
• Marissa Latvys Wright

  • Dermatology Physician
  • Brooksville, FL
  • NPI 1649138140
  Medicare reassignment

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1679525653",
    "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",
            "telephone_number": "352-796-3334",
            "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",
            "fax_number": "352-796-3323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5915 W Gulf To Lake Hwy",
            "address_purpose": "LOCATION",
            "city": "Crystal River",
            "state": "FL",
            "postal_code": "344297565",
            "country_code": "US",
            "telephone_number": "352-796-3334",
            "fax_number": "352-796-3323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8425 Northcliffe Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346061107",
            "country_code": "US",
            "telephone_number": "352-796-3334",
            "fax_number": "352-796-3323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR AESTHETIC PLASTIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "UTPALKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-796-3334",
        "authorized_official_credential": "M.D., PHD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME73174",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME79778",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA2302",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellie Ann Cash, P.T.
• Frederick D Cason Jr., M.D.
• Lisa M Castellano
• Beatriz Katherin Castelvi, RBT
• Center for Aesthetic Plastic Surgery
• Central Hernando Surgical Associates P a
• Stephanie Cetoute, PMHNP
• Alex Chacko, RPH
• Shawn Rishi Chakraborty, DO
• Joseph Chambers Jr., PMHNP-BC

• Dermatology Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Dermatology Physician in Florida

• 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.
• 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.