Individual provider Active NPI

David L Patterson, MD

  • Allergy & Immunology Physician
  • Noblesville, IN
National Provider Identifier
1922001007
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
01040013A Issued in IN
Practice address
14540 Prairie Lakes Blvd N
Suite 207
Noblesville, IN 46060-4366
Phone
(317) 621-2455
Fax
(317) 355-6166
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 01040013A IN Primary

Addresses

Primary practice location

14540 Prairie Lakes Blvd N
Suite 207
Noblesville, IN 46060-4366

Mailing address

14540 Prairie Lakes Blvd N
Suite 207
Noblesville, IN 46060-4366
Phone (317) 621-2455

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
I20040722001252 IN Practitioner - Allergy/Immunology 5698755387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Indiana University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academy Allergy Asthma and Sinus, PCGroup PAC ID 4284614975, 2 clinicians

Practice addresses (Care Compare)

14540 Prairie Lakes Blvd N
Suite 207
Noblesville, IN 46060-4370
Phone (317) 621-2455

Hospital & facility affiliations

  • Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089
  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01040013AINMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Academy Allergy Asthma & Sinus, PC Allergy CurrentSince Oct 1, 1998 Accepting new patients
Major Hospital Past Accepting new patients

Locations

13050 Parkside Dr
Ste 170
Fishers, IN 46038
Phone (317) 621-2455

Interoperability endpoints

  • Direct secure messaging: patterson.david.004.0140038@academyallergy.meditab.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1922001007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14540 PRAIRIE LAKES BLVD N",
            "address_2": "SUITE 207",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604366",
            "telephone_number": "317-621-2455",
            "fax_number": "317-355-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 PRAIRIE LAKES BLVD N",
            "address_2": "SUITE 207",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604366",
            "telephone_number": "317-621-2455",
            "fax_number": "317-355-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IN",
            "license": "01040013A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.