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ALLEN COUNTY INTERNAL MEDICINE PC
NPI 1356755813
Internal Medicine in Fort Wayne, IN

Active since June 12, 2014
12515 GOLDEN HARVEST DR, FORT WAYNE, IN 46845(217) 714-0220 Get Directions Write a Review

NPPES record last updated: June 21, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Allen County Internal Medicine Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLEN COUNTY INTERNAL MEDICINE PC (NPI 1356755813) is a healthcare organization registered as an internal medicine in Fort Wayne, Indiana and active in the NPI registry since June 2014. The organization lists Rutvik Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1356755813
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameALLEN COUNTY INTERNAL MEDICINE PC
Location Address12515 GOLDEN HARVEST DRFort Wayne, IN 46845-9031
Mailing Address12515 Golden Harvest DrFort Wayne, IN 46845-9031 · (217) 714-0220
Phone(217) 714-0220
Organization SubpartNo
Authorized OfficialRutvik PatelOwner · (217) 714-0220
Enumeration DateJune 12, 2014
Last NPPES UpdateJune 21, 2016
✔ NPI 1356755813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12515 GOLDEN HARVEST DR, Fort Wayne, IN 46845
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Other Identifiers 6

Medicaid201240270 DIN
Medicare PININ2044IN
Medicaid201240270 BIN
Medicaid201240270 CIN
Medicaid201240270 AIN
Medicaid201240270 EIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allen County Internal Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Allen County Internal Medicine PC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Krishna Datta, M.D.
Internal Medicine
NPI 1427161801
11109 PARKVIEW PLAZA DR
Fort Wayne, IN 46845
(260) 266-2500
✔ PECOS1.3 mi
Ashish Khemka, M.D
Internal Medicine
NPI 1992716179
2121 LAKE AVE
Fort Wayne, IN 46805
(260) 426-5431
✔ PECOS7.5 mi
Alexander Mathai, M.D.
Internal Medicine
NPI 1104856608
2121 LAKE AVE
Fort Wayne, IN 46805
(260) 526-5431
✔ PECOS✔ Accepts Medicare7.5 mi
Rutvik Patel, M.D.
Internal Medicine
NPI 1275567166
2121 LAKE AVE
Fort Wayne, IN 46805
(217) 714-0220
✔ PECOS✔ Accepts Medicare7.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allen County Internal Medicine PC's NPI number?

The NPI number for Allen County Internal Medicine PC is 1356755813. It was assigned to this organization in the NPPES registry on June 12, 2014.

Where is Allen County Internal Medicine PC located?

Allen County Internal Medicine PC is located at 12515 Golden Harvest Dr, Fort Wayne, IN 46845. The listed phone number is (217) 714-0220.

What is Allen County Internal Medicine PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Allen County Internal Medicine PC enrolled in Medicare?

Yes. Allen County Internal Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Allen County Internal Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Internal Medicine, reassign their Medicare billing to Allen County Internal Medicine PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Allen County Internal Medicine PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Allen County Internal Medicine PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Allen County Internal Medicine PC was last updated on June 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.