Individual provider Active NPI

Kishan B Patel, MD

  • Family Medicine Physician
  • West Lafayette, IN
National Provider Identifier
1265455836
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01062245A Issued in IN
Practice address
909 Sagamore Pkwy W
West Lafayette, IN 47906-1443
Phone
(765) 463-6262
Fax
(765) 463-9122
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01062245A IN
Family Medicine Physician 207Q00000X 01062245A IN Primary

Addresses

Primary practice location

909 Sagamore Pkwy W
West Lafayette, IN 47906-1443

Mailing address

PO Box 781076
Detroit, MI 48278-1008
Phone (317) 528-4800

Other practice location 1

253 Sagamore Pkwy W
West Lafayette, IN 47906-1501
Phone (765) 448-8000

Other identifiers 4

IdentifierTypeStateIssuer
000000613586OtherINANTHEM PROVIDER PIN / URGENT CARE
200828050MedicaidIN
000000485526OtherINANTHEM PROVIDER PIN / FAMILY PRACTICE-HOSPITALIST
9449511OtherINPHCS PID NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kpatel4@direct.iuhealth.org

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
I20061003000153 IN Practitioner - Family PracticePractitioner - Other (Physician) 2264437961 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

909 Sagamore Pkwy W
West Lafayette, IN 47906-1443
Phone (765) 463-6262

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
University Family Physicians, Inc. Family Medicine CurrentSince Sep 1, 2016 Accepting new patients
Arnett Clinic, LLC CurrentSince Sep 1, 2006 Accepting new patients
Arnett Clinic, LLC Emergency Medicine CurrentSince Sep 1, 2006 Accepting new patients
Franciscan Physician Network CurrentSince Jan 11, 2026 Accepting new patients
University Family Physicians, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Franciscan Physician Network CurrentSince Jan 11, 2026 Accepting new patients
Arnett Clinic, LLC Current Accepting new patients

Locations

7216 Solutions Ctr
Chicago, IL 60677

8016 Reliable Pkwy
Chicago, IL 60686

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1 Walter Scholer Dr
Lafayette, IN 47909

2600 Greenbush St
Lafayette, IN 47904

810 S 6th St
Ste A
Monticello, IN 47960

1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

909 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 463-6262

253 Sagamore Pkwy W
West Lafayette, IN 47906

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1265455836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781008",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SAGAMORE PKWY W",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061443",
            "telephone_number": "765-463-6262",
            "fax_number": "765-463-9122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "253 Sagamore Pkwy W",
            "address_purpose": "LOCATION",
            "city": "West Lafayette",
            "state": "IN",
            "postal_code": "479061501",
            "country_code": "US",
            "telephone_number": "765-448-8000",
            "fax_number": "765-446-7023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KISHAN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01062245A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01062245A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER PIN / URGENT CARE",
            "identifier": "000000613586",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200828050",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER PIN / FAMILY PRACTICE-HOSPITALIST",
            "identifier": "000000485526",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS PID NUMBER",
            "identifier": "9449511",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpatel4@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "253 Sagamore Pkwy W",
            "city": "West Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479061501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

Verify at the official NPI Registry.