Active NPI
David H Dunkle, MD
- Family Medicine Physician
- Franklin, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01055514A
- Practice address
- 1155 W Jefferson St
Suite 101
Franklin, IN 46131-2730 - Phone
- (317) 736-6133
- Fax
- (317) 736-6403
- NPI assigned
- Jan 4, 2007
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01055514A | IN | Primary |
Addresses
Primary practice location
1155 W Jefferson St
Suite 101
Franklin, IN 46131-2730
Mailing address
1155 W Jefferson St
Suite 101
Franklin, IN 46131-2730
Phone (317) 736-6133
Other practice location 1
3000 South SR 135
Suite 200
Greenwood, IN 46143
Phone (317) 535-1876
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00056462 | Other | IN | RAILROAD MEDICARE |
| M400024977 | Other | IN | MEDICARE |
| 200285080 | Medicaid | IN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01055514A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Memorial Health Physician Network, LLC | Family Medicine | Current | Accepting new patients |
| Rush Memorial Hospital | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Johnson Memorial Hospital | Past | Accepting new patients | |
| Emergency Physicians of Indianapolis, PC | Past | Accepting new patients |
Locations
1155 W Jefferson St
Ste 101
Franklin, IN 46131
Phone (317) 346-7934
3000 S State Road 135
Ste 200
Greenwood, IN 46143
Phone (317) 346-7920
Ownership & related parties
All facility ownership & control disclosures 37
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Johnson Memorial Hospital | Hospital | Corporate Officer (100%) Corporate Director (100%) Operational/Managerial Control (100%) |
Mar 29, 2019 Mar 29, 2019 Mar 29, 2019 |
| Millers Merry Manor | Skilled nursing facility | Corporate Officer Operational/Managerial Control |
Mar 1, 2019 Jan 1, 2025 |
| Millers Merry Manor | Skilled nursing facility | Operational/Managerial Control | Jan 1, 2025 |
| Millers Merry Manor | Skilled nursing facility | Operational/Managerial Control Managing Control - Governing Body |
Jan 1, 2025 Mar 1, 2019 |
| The Waters of Lagrange Skilled Nursing Facility | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Jun 1, 2019 Mar 1, 2019 Mar 1, 2019 |
| The Waters of Dunkirk Skilled Nursing Facilty | Skilled nursing facility | Corporate Officer (100%) Corporate Director Operational/Managerial Control |
Mar 1, 2019 Mar 1, 2019 Mar 1, 2019 |
| The Waters of Sullivan Nursing Facility | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Mar 1, 2019 Mar 1, 2019 Mar 1, 2019 |
| The Waters of Rushville Skilled Nursing Facility | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Mar 1, 2019 Mar 1, 2019 Mar 1, 2019 |
| The Waters of Syracuse Skilled Nursing Facility | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Mar 1, 2019 Mar 1, 2019 Mar 1, 2019 |
| The Waters of Tipton Skilled Nursing Facility | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Mar 1, 2019 Mar 1, 2019 Mar 1, 2019 |
| The Waters of Peru Skilled Nursing Facility | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Jun 1, 2019 Jun 1, 2019 Jun 1, 2019 |
| The Waters of Rockport Skilled Nursing Facility | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Mar 1, 2019 Mar 1, 2019 Mar 1, 2019 |
| The Waters of Chesterfield Skilled Nursing Facility | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Mar 1, 2019 Mar 1, 2019 Mar 1, 2019 |
| The Waters of Fort Wayne Skilled Nursing Facility | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Jun 1, 2019 Mar 1, 2019 Mar 1, 2019 |
| The Waters of Wakarusa Skilled Nursing Facility | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Mar 1, 2019 Mar 1, 2019 Mar 1, 2019 |
| The Waters of Hartford City Skilled Nursing Facility | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Jun 1, 2019 Mar 1, 2019 Mar 1, 2019 |
| The Waters of Columbia City Skilled Nursing Facility | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Jun 1, 2019 Mar 1, 2019 Mar 1, 2019 |
| The Waters of Castleton Skilled Nursing Facility | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Mar 1, 2019 Mar 1, 2019 Mar 1, 2019 |
| The Waters of Middletown Skilled Nursing Facility | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Jun 1, 2019 Mar 1, 2019 Mar 1, 2019 |
| The Waters of Huntington Skilled Nursing Facility | Skilled nursing facility | Corporate Officer (100%) Corporate Director (100%) Operational/Managerial Control |
Jun 1, 2019 Jun 1, 2019 Jun 1, 2019 |
| The Waters of Hobart Skilled Nursing Facility | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Mar 1, 2019 Mar 1, 2019 Mar 1, 2019 |
| Miller's Merry Manor | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Mar 1, 2019 Mar 1, 2019 Mar 1, 2019 |
| Miller's Merry Manor | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Mar 1, 2019 Mar 1, 2019 Mar 1, 2019 |
| Miller's Merry Manor | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control Managing Control - Governing Body |
Mar 1, 2019 Mar 1, 2019 Jan 1, 2025 Mar 1, 2019 |
| Millers Merry Manor | Skilled nursing facility | Operational/Managerial Control | Mar 1, 2019 |
| Miller's Merry Manor | Skilled nursing facility | Operational/Managerial Control | Jan 1, 2025 |
| Miller's Merry Manor | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Mar 1, 2019 Mar 1, 2019 Jan 1, 2025 |
| Miller's Merry Manor | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Mar 1, 2019 Mar 1, 2019 Jan 1, 2025 |
| Millers at Oak Pointe | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Mar 1, 2019 Mar 1, 2019 Jan 1, 2025 |
| The Waters of Wabash Skilled Nursing Facility East | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Mar 1, 2019 Mar 1, 2019 Mar 1, 2019 |
| The Waters of Wabash Skilled Nursing Facility West | Skilled nursing facility | Corporate Officer (100%) Corporate Director Operational/Managerial Control |
Mar 1, 2019 Mar 1, 2019 Mar 1, 2019 |
| Millers Merry Manor | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Mar 1, 2019 Mar 1, 2019 Jan 1, 2025 |
| Millers Merry Manor | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Mar 1, 2019 Mar 1, 2019 Mar 1, 2019 |
| Greenwood Village South | Skilled nursing facility | Corporate Officer Operational/Managerial Control |
Mar 1, 2019 Mar 1, 2019 |
| Miller's Health & Rehab by Miller's Merry Manor | Skilled nursing facility | Corporate Officer Corporate Director Operational/Managerial Control |
Mar 1, 2019 Mar 1, 2019 Jan 1, 2025 |
| Compass Park | Skilled nursing facility | Corporate Officer (100%) Operational/Managerial Control |
Jun 1, 2019 Jun 1, 2019 |
| Suburban Hospice | Hospice | Corporate Director | Nov 1, 2024 |
Owned or controlled facilities with NPI records 38
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba The Waters of Sullivan Skilled Nursing Facility
- Skilled Nursing Facility
- Sullivan, IN
- NPI 1003838194
Corporate Director, Corporate Officer, Operational/Managerial Control
-
dba The Waters of Syracuse Skilled Nursing Facility
- Skilled Nursing Facility
- Syracuse, IN
- NPI 1023031465
Corporate Director, Corporate Officer, Operational/Managerial Control
-
dba The Waters of Fort Wayne Skilled Nursing Facility
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1033132477
Corporate Director, Corporate Officer, Operational/Managerial Control
-
dba Compass Park
- Skilled Nursing Facility
- Franklin, IN
- NPI 1053301259
Corporate Officer, Operational/Managerial Control
-
dba The Waters of Castleton Skilled Nursing Facility
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1114940558
Corporate Director, Corporate Officer, Operational/Managerial Control
-
dba Miller's Merry Manor
- Skilled Nursing Facility
- Warsaw, IN
- NPI 1114947686
Operational/Managerial Control
-
dba The Waters of Rushville Skilled Nursing Facility
- Skilled Nursing Facility
- Rushville, IN
- NPI 1134142573
Corporate Director, Corporate Officer, Operational/Managerial Control
-
dba The Waters of Wabash Skilled Nursing Facility West
- Skilled Nursing Facility
- Wabash, IN
- NPI 1144236415
Corporate Director, Corporate Officer, Operational/Managerial Control
-
dba Miller's at Oak Pointe
- Skilled Nursing Facility
- Columbia City, IN
- NPI 1144627977
Corporate Director, Corporate Officer, Operational/Managerial Control
-
dba Miller's Merry Manor
- Skilled Nursing Facility
- Hope, IN
- NPI 1194747287
Corporate Director, Corporate Officer, Operational/Managerial Control
-
dba Millers Merry Manor
- Skilled Nursing Facility
- Marion, IN
- NPI 1215111067
Corporate Director, Corporate Officer, Operational/Managerial Control
-
dba The Waters of Wabash Skilled Nursing Facility East
- Skilled Nursing Facility
- Wabash, IN
- NPI 1235150376
Corporate Director, Corporate Officer, Operational/Managerial Control
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Franklin, IN
- NPI 1053972331
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1770538340
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
dba RMH Healthcare Associates Rural Health Clinic
- Rural Health Clinic/Center
- Rushville, IN
- NPI 1659935781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1053468041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 W JEFFERSON ST",
"address_2": "SUITE 101",
"city": "FRANKLIN",
"state": "IN",
"postal_code": "461312730",
"telephone_number": "317-736-6133",
"fax_number": "317-736-6403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 W JEFFERSON ST",
"address_2": "SUITE 101",
"city": "FRANKLIN",
"state": "IN",
"postal_code": "461312730",
"telephone_number": "317-736-6133",
"fax_number": "317-736-6403"
}
],
"practiceLocations": [
{
"address_1": "3000 South SR 135",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "IN",
"postal_code": "46143",
"country_code": "US",
"telephone_number": "317-535-1876",
"fax_number": "317-535-5049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNKLE",
"first_name": "DAVID",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01055514A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00056462",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "M400024977",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200285080",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.