Individual provider Active NPI

Naresh J Patel, DO

  • Allergy Physician
  • Fort Wayne, IN
National Provider Identifier
1063413052
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
02002204A Issued in IN
Practice address
7964 W. Jefferson Blvd.
Fort Wayne, IN 46804-4140
Phone
(260) 436-5670
Fax
(260) 436-4706
NPI assigned
Aug 2, 2005
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 02002204A IN Primary

Addresses

Primary practice location

7964 W. Jefferson Blvd.
Fort Wayne, IN 46804-4140

Mailing address

7964 W. Jefferson Blvd.
Fort Wayne, IN 46804-4140
Phone (260) 436-5670

Other identifiers 1

IdentifierTypeStateIssuer
200271340AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100621000771 IN Practitioner - Allergy/Immunology 9032240940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Mid West Medical College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Wayne Allergy and Asthma Consultants, Inc.Group PAC ID 8921014978, 3 clinicians

Practice addresses (Care Compare)

7964 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 436-5670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02002204AINMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Wayne Allergy and Asthma Consultants, Inc. Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1063413052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7964 W. JEFFERSON BLVD.",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044140",
            "telephone_number": "260-436-5670",
            "fax_number": "260-436-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7964 W. JEFFERSON BLVD.",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044140",
            "telephone_number": "260-436-5670",
            "fax_number": "260-436-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NARESH",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "IN",
            "license": "02002204A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200271340A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.