DR. UTKAL PATEL (M.D.) – Internal Medicine Physician, NPI 1063742005

DR. UTKAL PATEL (M.D.) is a healthcare provider. based in Springfield, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 2012003492 (MO). The NPI Number for DR. UTKAL PATEL (M.D.) is 1063742005

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. UTKAL PATEL (M.D.)
NPI
1063742005
Phone
(417) 820-2600
Address
1235 E Cherokee St
Enumeration Date
13 January 2010
Last Update Date
18 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2006 (20 years ago)
PAC ID
7012163298
Group Practice PAC ID
4688715691
Professional Enrollment ID
I20170727001997
Address ID
TX750204584DE5016X75XX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:16State licenses:2Digital endpointsOther names

4,186 INTERNAL MEDICINE in MO

Provider Addresses for DR. UTKAL PATEL (M.D.)

  • 1235 E Cherokee St

    Springfield, MO 658042203

    Phone: (417) 820-2600

    Fax: (417) 820-2100

    Type: Location

  • 2413, Wrexham Drive, McKinney, Collin County, Texas, 75071, United States

    MCKINNEY, TX 750713352

    Phone: (609) 827-5917

    Type: Mailing

  • 75, Katy Memorial Expressway, Denison, Grayson County, Texas, 74733, United States

    DENISON, TX 750204584

    Phone: (903) 417-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2023-11-30 • Largest payer in this snapshot: Inari Medical, Inc. ($117).

Total Amount

$117

General + Research + Ownership

Payments

2

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$117
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170727001997IInternal MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes303159$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes205124$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3629$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1818$0
76937Ultrasonic guidance for blood vessel access1111$0
View full utilization report →

Insurance plans in this area (ZIP 65804)

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Provider's Procedures

DR. UTKAL PATEL (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMO31622Diagnostic examination of lung airways using an endoscope2421
INTERNAL MEDICINEMO36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin2726

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688715691View full group profile
NameSpecialtyState
Critical Care (Intensivists), Emergency MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineDC
Internal MedicineMI
Critical Care (Intensivists)PA
Internal MedicineTX
Internal MedicineTX
Pulmonary DiseaseTX
Internal MedicineOH

Reviews

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Frequently asked questions

How is DR. UTKAL PATEL (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. UTKAL PATEL (M.D.) with NPI 1063742005.
Can I rely on DR. UTKAL PATEL (M.D.) being an active provider?
As of the registry snapshot, DR. UTKAL PATEL (M.D.) is marked active.
What is DR. UTKAL PATEL (M.D.) best known for clinically?
Directory data describes DR. UTKAL PATEL (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. UTKAL PATEL (M.D.) serve?
DR. UTKAL PATEL (M.D.)'s listing highlights Springfield, Missouri; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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