NARESH J PATEL (DO) – Allergy Physician, NPI 1063413052

NARESH J PATEL (DO) is a healthcare provider. based in Fort wayne, Indiana. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials DO. They hold a License No. 02002204A (IN). The NPI Number for NARESH J PATEL (DO) is 1063413052

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
NARESH J PATEL (DO)
NPI
1063413052
Phone
(260) 436-5670
Address
7964 W. JEFFERSON BLVD.
Enumeration Date
2 August 2005
Last Update Date
20 April 2026

Doctor Profile

Medical School Name
MID WEST MEDICAL COLLEGE
Secondary Phone
2604365670
Graduation Year
1993 (33 years ago)
PAC ID
9032240940
Group Practice PAC ID
8921014978
Professional Enrollment ID
I20100621000771
Address ID
IN468044140FO7964XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

78 ALLERGY/IMMUNOLOGY in IN

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Provider Addresses for NARESH J PATEL (DO)

  • 7964, West Jefferson Boulevard, Brierwood Hills, Fort Wayne, Allen County, Indiana, 46804, United States

    FORT WAYNE, IN 468044140

    Phone: (260) 436-5670

    Fax: (260) 436-4706

    Mailing address matches the actual address.

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: 2010-06-21

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
I20100621000771IAllergy/ImmunologyINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J2357Injection, omalizumab, 5 mg8,26513$0
95165Professional service for preparation and provision of 1 or more antigens1,30279$0
95004Test for allergy using allergenic extract96713$0
95115Professional service for single injection of allergen59840$0
95117Professional service for multiple injections of allergen38523$0
View full utilization report →

Insurance plans in this area (ZIP 46804)

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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: 8921014978View full group profile
NameSpecialtyState
Nurse PractitionerIN
-IN

Reviews

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Frequently asked questions

Can I cross-check NARESH J PATEL (DO) using NPI 1063413052?
NPI 1063413052 belongs to NARESH J PATEL (DO); compare other details if you need extra assurance.
Active or inactive — what applies to NARESH J PATEL (DO)?
You should see NARESH J PATEL (DO) as active in CMS-hosted NPPES data.
What expertise is attributed to NARESH J PATEL (DO)?
NARESH J PATEL (DO)'s specialty line reads Allergy Physician. Clinical services aligned with this taxonomy classification.
Is NARESH J PATEL (DO) located near Fort Wayne?
NARESH J PATEL (DO) currently maps to Fort Wayne, Indiana in this extract.
When was this NPI issued?
Enumeration for NARESH J PATEL (DO) is noted as August 2, 2005 where the registry provides it.

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