PEDIATRIC SPECIALTY PHYSICIANS PC NPI 1023198926

NPI Information

  • NPI: 1023198926
  • Provider Name: PEDIATRIC SPECIALTY PHYSICIANS, PC
  • Classification: Pediatrics - 2080P0203X
  • Specialization: Pediatric Critical Care Medicine
  • Entity Type: Organization
  • Doing Business As: JAYESH P. PATEL, MD
  • Address: 7429 INVERNESS COMMONS
    FORT WAYNE, IN
    ZIP 46804
  • Phone: (260) 408-5801

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NPI Details

PEDIATRIC SPECIALTY PHYSICIANS, PC is a pediatric critical care medicine pediatrics in Fort Wayne, IN. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. PEDIATRIC SPECIALTY PHYSICIANS, PC NPI is 1023198926. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jayesh P. Patel, Md.

The provider's business location address is:

7429 INVERNESS COMMONS
FORT WAYNE, IN
ZIP 46804-837
Phone: (260) 408-5801
Fax: (888) 949-8258

The provider's authorized official is Jayesh P Patel .
The authorized official title is President and has the following contact phone number (260) 408-5801.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 8/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0203XPediatricsPediatric Critical Care MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200301280MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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