Healthcare Provider Details

I. General information

NPI: 1093687972
Provider Name (Legal Business Name): RINESH PATEL NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13250 HAZEL DELL PKWY STE 104
CARMEL IN
46033-8527
US

IV. Provider business mailing address

2202 HENGIST DR
WESTFIELD IN
46074-7997
US

V. Phone/Fax

Practice location:
  • Phone: 317-415-6900
  • Fax:
Mailing address:
  • Phone: 630-456-0908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71017092A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71017092A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: