DR. NATHAN KYLE ALLISON (MD) – Emergency Medicine Physician, NPI 1679574024

DR. NATHAN KYLE ALLISON (MD) is a healthcare provider. based in Fort wayne, Indiana. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 01060499A (IN). The NPI Number for DR. NATHAN KYLE ALLISON (MD) is 1679574024

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. NATHAN KYLE ALLISON (MD)
NPI
1679574024
Phone
(260) 482-5091
Address
3640 NEW VISION DRIVE
Enumeration Date
9 August 2005
Last Update Date
14 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
2603478556
Graduation Year
2002 (24 years ago)
PAC ID
4688642549
Group Practice PAC ID
2163336967
Professional Enrollment ID
I20050623001043
Address ID
IN467552927KE512XXWAYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,266 EMERGENCY MEDICINE in IN

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Provider Addresses for DR. NATHAN KYLE ALLISON (MD)

  • 3640 NEW VISION DRIVE

    SUITE A

    FORT WAYNE, IN 468451717

    Phone: (260) 482-5091

    Fax: (260) 498-2029

    Type: Mailing

  • Parkview Hospital Randallia, 2200, Randalia Drive, Fort Wayne, Allen County, Indiana, 46805, United States

    FORT WAYNE, IN 46805

    Phone: (260) 373-4000

    Fax: (260) 482-4442

    Type: Location

  • 608 UNION CHAPEL RD

    FORT WAYNE, IN 468459357

    Phone: (260) 482-5091

    Fax: (260) 498-2029

    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: 2005-06-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040920000526IEmergency MedicineOHTBD
I20050623001043IEmergency MedicineINTBD

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
99285Emergency department visit with high level of medical decision making284280$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only177174$0
99284Emergency department visit with moderate level of medical decision making8482$0
99291Critical care, first 30-74 minutes4747$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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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: 2163336967View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerNM
-IN
Nurse PractitionerIN
Family PracticeIN
-IN
-IN
Infectious DiseaseIN
Internal MedicineIN
-IN

Reviews

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Frequently asked questions

Is there an official ID for DR. NATHAN KYLE ALLISON (MD) in U.S. healthcare records?
The official identifier for DR. NATHAN KYLE ALLISON (MD) is NPI 1679574024.
Is DR. NATHAN KYLE ALLISON (MD) still an active registrant?
DR. NATHAN KYLE ALLISON (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. NATHAN KYLE ALLISON (MD)?
At a glance, DR. NATHAN KYLE ALLISON (MD) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. NATHAN KYLE ALLISON (MD)?
Directory geography for DR. NATHAN KYLE ALLISON (MD) centers on Fort Wayne, Indiana.
Does DR. NATHAN KYLE ALLISON (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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