DALE ALAN PATTERSON (M.D.) – Family Medicine Physician, NPI 1033115852

DALE ALAN PATTERSON (M.D.) is a healthcare provider. based in South bend, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 01048950A (IN). The NPI Number for DALE ALAN PATTERSON (M.D.) is 1033115852

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DALE ALAN PATTERSON (M.D.)
NPI
1033115852
Phone
(574) 647-7477
Address
714 N MICHIGAN ST
Enumeration Date
27 June 2005
Last Update Date
26 June 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
5745842812
Graduation Year
1997 (29 years ago)
PAC ID
7214036615
Group Practice PAC ID
1254243306
Professional Enrollment ID
I20070626000568
Address ID
IN465444249MI5314XEXXX301

Contacts

Secure Messaging
dpatterson@mybeacon.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,862 FAMILY PRACTICE in IN

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Provider Addresses for DALE ALAN PATTERSON (M.D.)

  • 714, North Michigan Street, South Bend, Saint Joseph County, Indiana, 46601, United States

    SOUTH BEND, IN 466011035

    Phone: (574) 647-7477

    Type: Location

  • 710, North Niles Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States

    SOUTH BEND, IN 466171924

    Phone: (574) 647-1610

    Type: Mailing

  • 5314 Lincolnway E

    Mishawaka, IN 465441035

    Phone: (574) 584-2812

    Fax: (574) 584-2813

    Type: Location

  • 3245 HEALTH DR STE 100

    GRANGER, IN 465301924

    Phone: (574) 647-2129

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-06-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070626000568IFamily PracticeINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254243306View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Interventional CardiologyIN
Nurse PractitionerIN
-IN
Qualified AudiologistIN
Nurse PractitionerIN
-IN
Nurse PractitionerIN
-IN
General SurgeryIN
-IN

Reviews

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Frequently asked questions

Is there an official ID for DALE ALAN PATTERSON (M.D.) in U.S. healthcare records?
The official identifier for DALE ALAN PATTERSON (M.D.) is NPI 1033115852.
Is there an active status for DALE ALAN PATTERSON (M.D.)?
For scheduling context, DALE ALAN PATTERSON (M.D.) is shown as active in the registry.
What kind of doctor is DALE ALAN PATTERSON (M.D.)?
DALE ALAN PATTERSON (M.D.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DALE ALAN PATTERSON (M.D.)?
Travel planning: use South Bend, Indiana as the reference point for DALE ALAN PATTERSON (M.D.), then confirm.
When was this NPI issued?
Enumeration for DALE ALAN PATTERSON (M.D.) is noted as June 27, 2005 where the registry provides it.

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