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DR. UTPAL H DHRUVE M.D.
NPI 1013112333
Psychiatry & Neurology - Psychiatry in Oak Lawn, IL

Active since June 18, 2007PECOS EnrolledAccepts Medicare Assignment
4440 W 95TH ST, OAK LAWN, IL 60453(708) 684-7482 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 14, 2023, Feb 21, 2023, Nov 29, 2021 and 2 more (5 updates tracked since 2020).

About Dr. Utpal H Dhruve M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. UTPAL H DHRUVE M.D. (NPI 1013112333) is an individual psychiatry provider in Oak Lawn, Illinois, licensed in Illinois (036128875) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1013112333
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. UTPAL H DHRUVECredential: M.D.
Location Address4440 W 95TH STOak Lawn, IL 60453-2600
Mailing Address29373 Network PlChicago, IL 60673-1293
Phone(708) 684-7482
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 18, 2007
Last NPPES UpdateMarch 14, 20235 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
✔ NPI 1013112333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IL · 036128875
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4440 W 95TH ST, Oak Lawn, IL 60453
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Secondary Practice Locations 2

Location 11603 Orrington AveEvanston, IL 60201-3841 · Phone (847) 461-8556
Location 212255 S 80th AvePalos Heights, IL 60463-1270 · Phone (708) 923-7878 · Fax (708) 923-7888

Other Identifiers 1

Medicaid036128875IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Utpal H Dhruve M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749451680
PECOS Enrollment IDI20110926000264
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Utpal Dhruve reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advocate Health & Hospitals Corporation
Same address
Medical Specialty
4440 W 95TH ST
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1912936014 (847) 390-5900
Rockford Health Physicians
75 mi
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1043242886 (608) 314-2428
Ascension Medical Group-Southeast Wisconsin Inc
93 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000
Mercy Health System Corporation
94 mi
Multi-Specialty
580 N WASHINGTON ST
Janesville, WI 53548
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,155 clinicians in this Medicare group
NPI 1598718603 (608) 741-7630

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
29 services29 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK ADRIAN FAASSE MD
Urology
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-4557
DR. MANDY LUMA ENSHIWAT M.D.
Internal Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-8000
DR. KIM MARIE MIILLER MA, PSYD
Psychologist (Clinical)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-7482
JENNIFER MARSIGLIO
Occupational Therapist (Physical Rehabilitation)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5425
TRACI LYNN TAGUE MA, CCC-SLP
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-1989
ELIZABETH A FOLLIARD OTR/L
Occupational Therapist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5369
MICHAEL CIRONE M.D.
Emergency Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5375
ANNA MANILLA
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (248) 701-7523

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Utpal Dhruve's NPI number?

The NPI number for Utpal Dhruve is 1013112333. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Utpal Dhruve located?

Utpal Dhruve practices at 4440 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 684-7482.

What is Utpal Dhruve's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Utpal Dhruve enrolled in Medicare?

Yes. Utpal Dhruve is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Utpal Dhruve's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Utpal Dhruve reassigns Medicare benefits to 4 organizations: Advocate Health & Hospitals Corporation (Oak Lawn, IL), Rockford Health Physicians (Rockford, IL), Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI) and Mercy Health System Corporation (Janesville, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Utpal Dhruve's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Utpal Dhruve accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Utpal Dhruve as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Utpal Dhruve was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.