UMA R. PHATAK M.D.
NPI 1598014979
Colon & Rectal Surgery in Boston, MA

Active since August 31, 2012PECOS EnrolledAccepts Medicare Assignment
74.96/100
CMS Quality Rating
830 HARRISON AVENUE, MOAKLEY, SUITE 3400, BOSTON, MA 02118(617) 414-8060(617) 414-8457 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2020, Sep 18, 2017 (2 updates tracked since 2017).

About Uma R. Phatak M.d. NPPES

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

UMA R. PHATAK M.D. (NPI 1598014979) is an individual colon & rectal surgery provider in Boston, Massachusetts, licensed in Texas (P1208) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1598014979
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameUMA R. PHATAKCredential: M.D.
Location Address830 HARRISON AVENUE, MOAKLEY, SUITE 3400Boston, MA 02118-2905
Mailing Address720 Harrison Avenue, Dob 503Boston, MA 02118-2371 · (617) 414-5405 · Fax (617) 414-6031
Fax(617) 414-8457
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 31, 2012
Last NPPES UpdateFebruary 5, 20202 updates tracked since enumeration
NPI 1598014979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in TX · P1208
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License 272638 (MA)
830 HARRISON AVENUE, Boston, MA 02118

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Uma R. Phatak 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 ID5597056408
PECOS Enrollment IDI20200302000341
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450018
Location301 University BoulevardGalveston, TX 77555 · Galveston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.77
Promoting Interoperability94
Improvement Activities40
Cost47.75

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.

Audiologist
830 HARRISON AVENUE, GROUND FLOOR SUITE 1400
BOSTON, MA 02118
Otolaryngology
830 HARRISON AVENUE, STE 1400
BOSTON, MA 02118
Internal Medicine (Medical Oncology)
830 HARRISON AVENUE, MOAKLEY, 3RD FLOOR
BOSTON, MA 02118
Physician Assistant
830 HARRISON AVENUE, SUITE 1400
BOSTON, MA 02118
Internal Medicine (Gastroenterology)
830 HARRISON AVENUE, EVANS - GASTROENTEROLOGY
BOSTON, MA 02118
Nurse Practitioner (Adult Health)
830 HARRISON AVENUE, SUITE 1400
BOSTON, MA 02118
Internal Medicine (Hematology)
830 HARRISON AVENUE, MOAKLEY, 3RD FLOOR
BOSTON, MA 02118
Nurse Practitioner (Family)
830 HARRISON AVENUE, MOAKLEY, 3RD FLOOR
BOSTON, MA 02118

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 Uma Phatak's NPI number?

The NPI number for Uma Phatak is 1598014979. It was assigned to this individual provider in the NPPES registry on August 31, 2012.

Where is Uma Phatak located?

Uma Phatak practices at 830 Harrison Avenue Moakley, Suite 3400, Boston, MA 02118. The listed phone number is (617) 414-8060.

What is Uma Phatak's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Uma Phatak enrolled in Medicare?

Yes. Uma Phatak 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.

What insurance does Uma Phatak accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company and WellPoint list Uma Phatak 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.

Is Uma Phatak affiliated with any hospitals?

According to CMS data, Uma Phatak is affiliated with University Of Texas Medical Branch Galveston.

When was this NPI record last updated?

The NPPES record for Uma Phatak was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.