Rutvik S. Patel, M.D.
Individual provider Active NPI Internal Medicine Physician · Fort Wayne, IN
NPI 1275567166 · NPPES record last updated Sep 29, 2023
Key facts
- NPI
- 1275567166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 01062298A (IN)
- Practice address
- 2121 Lake Ave
Fort Wayne, IN 46805-5100 - Phone
- (217) 714-0220
- Fax
- (888) 366-1712
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 12
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allen County Internal Medicine PC
Practice addresses (Care Compare)
12515 Golden Harvest Dr
Fort Wayne, IN 46845-9031
Phone (217) 714-0220
Hospital & facility affiliations
- Heart to Heart Hospice of Northeast Indiana, LLC
- Parkview Hospice
- Paradigm Health
- Parkview Regional Medical Center
- Parkview Wabash Hospital, Inc
- Lutheran Hospital of Indiana
- Parkview Huntington Hospital
- Peabody Retirement Community
- Heritage Park
- Ascension Living Sacred Heart Village
- Betz Nursing Home
- University Park Rehabilitation and Healthcare
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Peabody Retirement Community |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 1, 2014 Jul 1, 2015 |
| Heart to Heart Hospice of Northeast Indiana LLC |
Hospice | Contracted Managing Employee | Dec 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061019000520 | IN | Practitioner - Internal Medicine | 7517963242 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01062298 | IN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System Inc | Internal Medicine | Current |
Accepting new patients |
| Allen County Internal Medicine PC | Internal Medicine | Current |
Accepting new patients |
| Medical Group of Fort Wayne, P.C. | Internal Medicine | Past | Accepting new patients |
Locations
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335
416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
11104 Parkview Circle Dr
Ste 20
Fort Wayne, IN 46845
Phone (260) 266-2500
3534 Brooklyn Ave
Fort Wayne, IN 46809
Phone (219) 478-5180
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
400 W 7th St
North Manchester, IN 46962
Phone (260) 982-8616
Interoperability endpoints
- rpatel10143@direct.parkviewexchange.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 01062298 | IN | |
| Internal Medicine Physician | 207R00000X | 01062298A | IN | Yes |
Addresses
Primary practice location
2121 Lake Ave
Fort Wayne, IN 46805-5100
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other practice location 1
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Phone (260) 425-6940
Other practice location 2
12515 Golden Harvest Dr
Fort Wayne, IN 46845-9031
Phone (217) 714-0220
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2679847 | Medicaid | OH | |
| 11589279 | Other | IN | CAQH |
| 200825660 | Medicaid | IN | |
| 000000483128 | Other | IN | ANTHEM |
Other providers in Fort Wayne, IN
- Naresh J Patel
- Nilam K. Patel
- Noopur Patel
- Pankti A Patel
- Parul Kamlesh Patel
- Sandeep S Patel
- Sanjay J. Patel
- Sarrina Patel
- Shrey Y Patel
- Ujwal Vinubhai Patel
All providers in Fort Wayne, IN · Internal Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.