Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ketan N Patel, MD

Individual provider Pediatrics Physician · NPI 1104146117

Dr. Ketan N Patel, MD is a Pediatric Medicine in Fort Worth, Texas. Qualified in 2005, 21 years ago. Practices with Cook Childrens Physician Network, a 301-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
21
Licensed in
TX
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 Cooper St Fl 1
Fort Worth, TX 76104-2710
Phone: (682) 885-6179
Fax: (682) 885-2874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nephrology Physician (primary) Taxonomy 2080P0210X · Licence N3236 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence N3236 (TX)

Record details

NPI number1104146117
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2010
Last updated in NPPESApril 15, 2021
Certification dateApril 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesNEPHROLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Cook Childrens Physician Network — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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