DR. KETAN N PATEL (M.D.) – Pediatric Nephrology Physician, NPI 1104146117
Pediatric Nephrology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,256 PEDIATRIC MEDICINE in TX
Provider Addresses for DR. KETAN N PATEL (M.D.)
1500 COOPER ST
FORT WORTH, TX 761042710
Phone: (682) 885-4260
Type: Location
1500 COOPER ST FL 1
FORT WORTH, TX 761042710
Phone: (682) 885-6179
Fax: (682) 885-2874
Type: Location
PO BOX 733784
DALLAS, TX 753733784
Phone: (682) 885-1855
Fax: (682) 885-1396
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $42.
Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.
Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Azurity Pharmaceuticals, Inc. ($21).
Total Amount
$42
General + Research + Ownership
Payments
2
Total payment records
General Amount
$42
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Azurity Pharmaceuticals, Inc. | $21 |
| Takeda Pharmaceuticals U.S.A., Inc. | $21 |
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: 2011-06-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110629000393 | I | Pediatric Medicine | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 114 | 12 | $0 |
Insurance plans in this area (ZIP 76104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine, Cardiac Electrophysiology | TX | |
| - | OK | |
| - | TX | |
| H O S P I T A L I S T | VA | |
| - | TX | |
| - | TX | |
| - | TX | |
| Pulmonary Disease, Pediatric Medicine | TX | |
| - | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX |
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