Utpal Dhruve, M.D.
NPI 1013112333 · Psychiatry Physician · Oak Lawn, IL
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Utpal Dhruve, M.D. is a Psychiatry Physician provider in Oak Lawn, IL (NPI 1013112333).
Provider details
- NPI number
- 1013112333
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036128875 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
58 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychiatric Diagnostic Evaluation With Medical Services90792 | 29 | $171 |
| Psychiatric Diagnostic Evaluation With Medical Services90792 | 29 | $178 |
Typical Medicare-allowed amounts for these services range $171–$178 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$18 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 1603 Orrington AveEvanston, IL 60201-3841Phone: (847) 461-8556
- 12255 S 80th AvePalos Heights, IL 60463-1270Phone: (708) 923-7878Fax: (708) 923-7888
Registry dates
- Enumerated
- 2007-06-18
- Last updated
- 2023-03-14
- Certified
- 2023-03-14
Frequently asked questions
- What is Utpal Dhruve's NPI number?
- Utpal Dhruve's National Provider Identifier (NPI) is 1013112333, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Utpal Dhruve's specialty?
- Utpal Dhruve is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Utpal Dhruve located?
- Utpal Dhruve's practice location on file with NPPES is 4440 W 95th St, Oak Lawn, IL 60453-2600.
- What is Utpal Dhruve's phone number?
- The practice phone number listed in the NPPES registry for Utpal Dhruve is (708) 684-7482.
- Does Utpal Dhruve accept Medicare?
- Utpal Dhruve is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Utpal Dhruve's NPI active?
- Yes — Utpal Dhruve's NPI (1013112333) is active in the NPPES registry as of the last update on 2023-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.