Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Uma R. Phatak, MD

Individual provider Surgery Physician · NPI 1598014979

Uma R. Phatak, MD is a Colorectal Surgery (Proctology) in Boston, Massachusetts. Qualified in 2009, 17 years ago. Practices with UTMB Faculty Group Practice, a 1,074-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Texas.

Years since qualifying
17
Licensed in
MA, TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

830 Harrison Avenue Moakley Ste 3400
Boston, MA 02118-2905
Phone: (617) 414-8060
Fax: (617) 414-8457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence P1208 (TX)
Surgery Physician Taxonomy 208600000X · Licence 272638 (MA)

Record details

NPI number1598014979
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2012
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020
Mailing address720 Harrison Avenue, Dob 503, Boston, MA 02118-2371

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Utmb Faculty Group Practice — 1074 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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