Individual provider Active NPI

Emma Katheryn Dunfee, DO

  • Family Medicine Physician
  • Granger, IN
National Provider Identifier
1013477355
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101026800 Issued in MI
Practice address
52500 Fir Rd
Granger, IN 46530-8579
Phone
(574) 271-0700
Fax
(574) 273-5648
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 02007300A IN
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 5101026800 MI Primary

Addresses

Primary practice location

52500 Fir Rd
Granger, IN 46530-8579

Mailing address

52500 Fir Rd
Granger, IN 46530-8579

Other identifiers 1

IdentifierTypeStateIssuer
300077042MedicaidIN

Other names 1

  • Emma Katheryn Hatten Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230613003371 IN Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 7012240401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Marian University College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The South Bend Clinic LLC 171 clinicians

Practice addresses (Care Compare)

6301 University Commons
Suite 310
South Bend, IN 46635-1479
Phone (574) 232-1471

Hospital & facility affiliations

  • Memorial Hospital of South Bend Hospital, South Bend, IN, CCN 150058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles (2 of 7)

OrganizationSpecialtyStatusNew patients
The South Bend Clinic, LLC CurrentSince Aug 1, 2023 Accepting new patients
The South Bend Clinic LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

52500 Fir Rd
Granger, IN 46530
Phone (574) 204-7050

611 E Douglas Rd
Ste 407
Mishawaka, IN 46545
Phone (574) 335-6500

6301 University Commons
Ste 360
South Bend, IN 46635
Phone (574) 232-4800

6301 University Commons
Ste 310
South Bend, IN 46635
Phone (574) 232-1471

211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331

Networks

  • KY PPO
  • KY PPO C-SNP
  • IL HMO C-SNP
  • IL PPO Downstate
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Interoperability endpoints

  • FHIR API: https://epicproxy.et1296.epichosted.com/APIProxyPRD/api/FHIR/R4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1013477355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52500 FIR RD",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465308579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52500 FIR RD",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465308579",
            "telephone_number": "574-271-0700",
            "fax_number": "574-273-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNFEE",
        "first_name": "EMMA",
        "middle_name": "KATHERYN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "02007300A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101026800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300077042",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "HATTEN",
            "middle_name": "KATHERYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Granger, IN

Sources for this page

Verify at the official NPI Registry.