Individual provider

Utpal Patel, MD

Pain Medicine (Anesthesiology) Physician Medicare enrolled

Utpal Patel, MD is a Pain Medicine (Anesthesiology) Physician in Pembroke, NC, registered under NPI 1558332551.

Getting there

The practice address on file is 812 CANDY PARK RD STE 6103, Pembroke, NC 28372. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

812 CANDY PARK RD STE 6103, Pembroke, NC 28372 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2005-01380 NC Pain Medicine (Anesthesiology) Physician primary
036115510 IL Pain Medicine (Anesthesiology) Physician

Licences are recorded in 2 states: NC, IL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Anesthesiology
PAC ID
6002848967
Enrollment ID
I20050831000675

Medicare enrolment is recorded as approved under the provider type Practitioner - Anesthesiology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Illinois and North Carolina. The practice address on file is in Pembroke, NC, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

IL Illinois
Licence
036115510
Specialty
Pain Medicine (Anesthesiology) Physician
Verify with the IL board →
NC North Carolina practice address
Licence
2005-01380
Specialty
Pain Medicine (Anesthesiology) Physician
Verify with the NC board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Pain Medicine covers

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. NUCC Health Care Provider Taxonomy, code 207LP2900X
Allopathic & Osteopathic Physicians Anesthesiology Pain Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207LP2900X Pain Medicine (Anesthesiology) Physician Pain Medicine 2005-01380 NC primary
207LP2900X Pain Medicine (Anesthesiology) Physician Pain Medicine 036115510 IL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1558332551 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 28, 2006
Last updatedDec 9, 2021
StatusActive
Sole proprietorNo
CredentialMD
Practice address 812 CANDY PARK RD STE 6103
Pembroke, NC 28372
(910) 561-9727
Fax (866) 950-0218
Mailing address 1249 KILDAIRE FARM RD PMB 371
Cary, NC 27511
Other identifiers P00235330 · Other (NC)
5901602 · Medicaid (NC)
140ET · Other (NC)
The last update on file is Dec 9, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1558332551 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 5 8 3 3 2 5 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 1 8 6 3 4 5 1

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1558332551?
NPI 1558332551 is the National Provider Identifier assigned to Utpal Patel, MD in Pembroke, NC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pain Medicine cover?
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
How do I contact Utpal Patel, MD?
The phone number on file with NPPES is (910) 561-9727, last updated Dec 9, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Utpal Patel, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1558332551 a valid number?
Yes. 1558332551 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.