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DEVESH PATEL D.D.S
NPI 1417407875
Dentist in South Bend, IN

Active since October 10, 2016PECOS Enrolled
1002 S ESTHER ST, SOUTH BEND, IN 46615(574) 307-7673(574) 234-4705 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Devesh Patel D.d.s NPPES

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

DEVESH PATEL D.D.S (NPI 1417407875) is an individual dentist in South Bend, Indiana, licensed in Indiana (12013941A) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417407875
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDEVESH PATELCredential: D.D.S
Location Address1002 S ESTHER STSouth Bend, IN 46615-1440
Mailing Address1002 S Esther StSouth Bend, IN 46615-1440 · (574) 307-7673 · Fax (574) 234-4705
Phone(574) 307-7673
Fax(574) 234-4705
Sole ProprietorNo
Enumeration DateOctober 10, 2016
Last NPPES UpdateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
✔ NPI 1417407875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in IN · 12013941A✔ Licensed in MS · 398416
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1002 S ESTHER ST, South Bend, IN 46615
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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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Devesh Patel D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALLORY EDMONDSON MSDH, RDH
Dental Hygienist
1002 S ESTHER ST
SOUTH BEND, IN 46615
St. Joseph County (219) 363-8866
HEALTHLINC, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1002 S ESTHER ST
SOUTH BEND, IN 46615
St. Joseph County (219) 477-6082
ANDREA RAMTHUN DDS
Dentist
1002 S ESTHER ST
SOUTH BEND, IN 46615
St. Joseph County (574) 307-7673

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 Devesh Patel's NPI number?

The NPI number for Devesh Patel is 1417407875. It was assigned to this individual provider in the NPPES registry on October 10, 2016.

Where is Devesh Patel located?

Devesh Patel practices at 1002 S Esther St, South Bend, IN 46615. The listed phone number is (574) 307-7673.

What is Devesh Patel's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Devesh Patel enrolled in Medicare?

Yes. Devesh Patel is registered in the Medicare PECOS enrollment system.

What insurance does Devesh Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 15 other insurers list Devesh Patel 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 Devesh Patel was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.