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MR. UTPAL BHATT M.D.
NPI 1649218983
Internal Medicine - Pulmonary Disease in Bradenton, FL

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
92.61/100
CMS Quality Rating
300 RIVERSIDE DR E STE 2010, BRADENTON, FL 34208(941) 741-3338 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2021, Mar 30, 2017 (2 updates tracked since 2017).

About Mr. Utpal Bhatt M.d. NPPES

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

MR. UTPAL BHATT M.D. (NPI 1649218983) is an individual pulmonary disease provider in Bradenton, Florida, licensed in Florida (ME132016) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Manatee Memorial Hospital, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1649218983
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMR. UTPAL BHATTCredential: M.D.
Location Address300 RIVERSIDE DR E STE 2010Bradenton, FL 34208-1023
Mailing Address700 8th Ave W Ste 101Palmetto, FL 34221-4737 · (941) 776-4000 · Fax (941) 845-4963
Phone(941) 741-3338
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJune 2, 2006
Last NPPES UpdateSeptember 9, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2021
✔ NPI 1649218983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in FL · ME132016✔ Licensed in NY · 205455
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
300 RIVERSIDE DR E STE 2010, Bradenton, FL 34208
Open in Google Maps ↗

Secondary Practice Location 1

Location 1220A Saint Nicholas AveBrooklyn, NY 11237-4807 · Phone (718) 417-4740

Other Identifiers 1

Medicaid01957717NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Mr. Utpal Bhatt 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 ID1456362565
PECOS Enrollment IDI20060602000224, I20210909002496
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 3

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.

Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
26 services26 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
24 services24 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Manatee Memorial Hospital

Acute Care Hospitals · Bradenton, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100035
Location206 2nd St EBradenton, FL 34208 · Manatee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34208 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
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.

92.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.01
Promoting Interoperability100
Improvement Activities40
Cost66.14

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers21 claims21 services$74.81 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers14 claims25 services$30.59 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers19 claims19 services$15.14 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers14 claims14 services$11.56 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers24 claims76 services$1.85 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims20 services$14.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DR. AMIT KUMAR GUPTA MD
Internal Medicine (Interventional Cardiology)
300 RIVERSIDE DR E STE 2010
BRADENTON, FL 34208
Manatee County (941) 405-1170
DR. PATRICK WESTON M.D.
Internal Medicine (Cardiovascular Disease)
300 RIVERSIDE DR E STE 2010
BRADENTON, FL 34208
Manatee County (941) 405-1170
JOHN W HILL MD
Anesthesiology (Pain Medicine)
300 RIVERSIDE DR E STE 2010
BRADENTON, FL 34208
Manatee County (941) 405-1170

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 Bhatt's NPI number?

The NPI number for Utpal Bhatt is 1649218983. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Utpal Bhatt located?

Utpal Bhatt practices at 300 Riverside Dr E Ste 2010, Bradenton, FL 34208. The listed phone number is (941) 741-3338.

What is Utpal Bhatt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Utpal Bhatt enrolled in Medicare?

Yes. Utpal Bhatt 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 Utpal Bhatt accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Utpal Bhatt 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 Utpal Bhatt affiliated with any hospitals?

According to CMS data, Utpal Bhatt is affiliated with Manatee Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Utpal Bhatt was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.