| Utpal Kanti Dutta, MD | |
|
130 Hospital Rd Ste 300, Prince Frederick, MD 20678-4057 | |
| (410) 535-4333 | |
| (410) 535-3260 |
| Full Name | Utpal Kanti Dutta |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 26 Years |
| Location | 130 Hospital Rd Ste 300, Prince Frederick, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649428897 | NPI | - | NPPES |
| 01366238 | Other | AMERIGROUP | |
| 1649428897 | Other | TRICARE | |
| 1649428897 | Other | KAISER PERMANENTE | |
| 1649428897 | Other | CARE IMPROVEMENT PLUS | |
| 1649428897 | Other | MARYLAND PHYSICIANS CARE | |
| 1649428897 | Other | COVENTRY HEALTH CARE OF DELAWARE | |
| 522300606 | Other | MD | PATUXENT NEPHROLOGY ASSOCIATES, LLC |
| 1649428897 | Other | CIGNA | |
| 1649428897 | Other | UNITED HEALTHCARE, MAMSI, MDIPA, OPTIMUM CHOICE | |
| F117 AND 0J48PA | Other | CAREFIRST BLUECROSS BLUESHIELD | |
| 1649428897 | Other | MULTIPLAN, PHCS | |
| 418952301 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | D70833 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmc - Lexington Park Dialysis | California, MD | Dialysis facility |
| Medstar Saint Mary's Hospital | Leonardtown, MD | Hospital |
| Medstar Southern Maryland Hospital Center | Clinton, MD | Hospital |
| University Of Md Charles Regional Medical Center | La plata, MD | Hospital |
| Calverthealth Medical Center | Prince frederick, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstar Medical Group - Southern Maryland Llc | 1355667056 | 224 |
| Medstar Medical Group - Southern Maryland Llc | 1355667056 | 224 |
| Entity Name | Medstar Medical Group - Southern Maryland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831592211 PECOS PAC ID: 1355667056 Enrollment ID: O20150312000328 |
| Mailing Address | Practice Location Address |
|---|---|
| Utpal Kanti Dutta, MD Po Box 2424, Prince Frederick, MD 20678-2424 Ph: (410) 535-2085 | Utpal Kanti Dutta, MD 130 Hospital Rd Ste 300, Prince Frederick, MD 20678-4057 Ph: (410) 535-4333 |
Julie O'keefe, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 985 Prince Frederick Blvd Ste 201, Prince Frederick, MD 20678 Phone: 410-535-2005 Fax: 410-535-4850 | |
Dr. Mark J Kushner, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 110 Hospital Rd Ste 310, Prince Frederick, MD 20678 Phone: 410-535-2005 Fax: 410-535-4850 | |
Dr. Jonathan Kim Fears, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 985 Prince Frederick Blvd Ste 201, Prince Frederick, MD 20678 Phone: 410-535-2005 Fax: 410-535-4850 | |
Cassius Diego Belfonte, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 110 Hospital Rd, Suite 306, Prince Frederick, MD 20678 Phone: 410-414-6559 Fax: 410-414-5332 | |
Dr. Bilal Ahmed, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 110 Hospital Rd, Suite 105, Prince Frederick, MD 20678 Phone: 410-414-9116 Fax: 410-414-9118 | |
Dr. Reena Mary Thomas, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 205 Steeple Chase Dr 307, Prince Frederick, MD 20678 Phone: 443-432-3020 Fax: 410-486-7178 | |
Dr. Joseph John Barth Iii, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 110 Hospital Rd Ste 310, Prince Frederick, MD 20678 Phone: 410-535-2005 Fax: 410-535-4850 |