UTPAL KANTI DUTTA MD
NPI 1649428897
Internal Medicine - Nephrology in Prince Frederick, MD

Active since August 29, 2008PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
130 HOSPITAL RD STE 300, PRINCE FREDERICK, MD 20678(410) 535-4333(410) 535-3260 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Utpal Kanti Dutta Md NPPES

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

UTPAL KANTI DUTTA MD (NPI 1649428897) is an individual nephrology provider in Prince Frederick, Maryland, licensed in Maryland (D70833) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Medstar Saint Mary's Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1649428897
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameUTPAL KANTI DUTTACredential: MD
Location Address130 HOSPITAL RD STE 300Prince Frederick, MD 20678-4057
Mailing AddressPo Box 2424Prince Frederick, MD 20678-2424 · (410) 535-2085 · Fax (410) 535-0404
Fax(410) 535-3260
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 29, 2008
Last NPPES UpdateDecember 6, 2021
NPPES CertifiedDecember 6, 2021
NPI 1649428897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in MD · D70833
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

130 HOSPITAL RD STE 300, Prince Frederick, MD 20678

Other Identifiers 12

Other1649428897Cigna
OtherF117 AND 0J48PACarefirst Bluecross Blueshield
Other1649428897Multiplan, Phcs
Other1649428897Coventry Health Care Of Delaware
Other01366238Amerigroup
Other1649428897Maryland Physicians Care
Medicaid418952301MD
Other1649428897Tricare
Other522300606MD · Patuxent Nephrology Associates, Llc
Other1649428897Care Improvement Plus
Other1649428897Kaiser Permanente
Other1649428897United Healthcare, Mamsi, Mdipa, Optimum Choice

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

Utpal Kanti Dutta Md 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 ID4587799168
PECOS Enrollment IDI20100322000332, I20101108000038
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 19

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 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.
718 services299 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
218 services108 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
150 services48 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
137 services82 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
118 services77 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
101 services62 patients

Hospital Affiliations CMS Care Compare 3

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

Medstar Saint Mary's Hospital

Acute Care Hospitals · Leonardtown, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210028
Location25500 Point Lookout RoadLeonardtown, MD 20650 · St. Marys County
Emergency services Birthing friendly

University Of MD Charles Regional Medical Center

Acute Care Hospitals · La Plata, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210035
Location5 Garrett AvenueLa Plata, MD 20646 · Charles County
Emergency services Birthing friendly

Medstar Southern Maryland Hospital Center

Acute Care Hospitals · Clinton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210062
Location7503 Surratts RoadClinton, MD 20735 · Prince Georges County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20678 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.38
Promoting Interoperability96
Improvement Activities40
Cost74.97

Referred Medical Equipment & Supplies CMS DME claims 3

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers21 claims960 services$0.27 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers16 claims16 services$15.41 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers17 claims17 services$10.38 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 10

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

Physician Assistant
130 HOSPITAL RD STE 300
PRINCE FREDERICK, MD 20678
Internal Medicine (Gastroenterology)
130 HOSPITAL RD STE 300
PRINCE FREDERICK, MD 20678
Podiatrist
130 HOSPITAL RD STE 300
PRINCE FREDERICK, MD 20678
Internal Medicine (Nephrology)
130 HOSPITAL RD STE 300
PRINCE FREDERICK, MD 20678
Internal Medicine
130 HOSPITAL RD STE 300
PRINCE FREDERICK, MD 20678
Internal Medicine
130 HOSPITAL RD STE 300
PRINCE FREDERICK, MD 20678
Internal Medicine (Cardiovascular Disease)
130 HOSPITAL RD STE 300
PRINCE FREDERICK, MD 20678
Psychiatry & Neurology (Psychiatry)
130 HOSPITAL RD STE 300
PRINCE FREDERICK, MD 20678

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 Dutta's NPI number?

The NPI number for Utpal Dutta is 1649428897. It was assigned to this individual provider in the NPPES registry on August 29, 2008.

Where is Utpal Dutta located?

Utpal Dutta practices at 130 Hospital Rd Ste 300, Prince Frederick, MD 20678. The listed phone number is (410) 535-4333.

What is Utpal Dutta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Utpal Dutta enrolled in Medicare?

Yes. Utpal Dutta 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.

Is Utpal Dutta affiliated with any hospitals?

According to CMS data, Utpal Dutta is affiliated with Medstar Saint Mary's Hospital, University Of MD Charles Regional Medical Center and Medstar Southern Maryland Hospital Center.

When was this NPI record last updated?

The NPPES record for Utpal Dutta was last updated on December 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.