Individual provider Active NPI

David H Dunkle, MD

  • Family Medicine Physician
  • Franklin, IN
National Provider Identifier
1053468041
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01055514A Issued in IN
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00056462OtherINRAILROAD MEDICARE
M400024977OtherINMEDICARE
200285080MedicaidIN

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
I20031121000611 IN Practitioner - Family Practice 0547164410 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01055514AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Memorial Health Physician Network, LLC Family Medicine CurrentSince Dec 1, 2019 Accepting new patients
Rush Memorial Hospital Past Accepting new patients
Major Hospital Past Accepting new patients
Johnson Memorial Hospital PastSince Mar 1, 2019 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.

FacilityTypeRoleSince
Johnson Memorial HospitalFranklin, IN, CCN 150001 Hospital Corporate Officer (100%)
Corporate Director (100%)
Operational/Managerial Control (100%)
Mar 29, 2019
Mar 29, 2019
Mar 29, 2019
Millers Merry ManorIndianapolis, IN, CCN 155557 Skilled nursing facility Corporate Officer
Operational/Managerial Control
Mar 1, 2019
Jan 1, 2025
Millers Merry ManorLogansport, IN, CCN 155235 Skilled nursing facility Operational/Managerial Control Jan 1, 2025
Millers Merry ManorPlymouth, IN, CCN 155102 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Jan 1, 2025
Mar 1, 2019
The Waters of Lagrange Skilled Nursing FacilityLagrange, IN, CCN 155118 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 FaciltyDunkirk, IN, CCN 155571 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 FacilitySullivan, IN, CCN 155262 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 FacilityRushville, IN, CCN 155053 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 FacilitySyracuse, IN, CCN 155581 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 FacilityTipton, IN, CCN 155556 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 FacilityPeru, IN, CCN 155039 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 FacilityRockport, IN, CCN 155274 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 FacilityChesterfield, IN, CCN 155617 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 FacilityFort Wayne, IN, CCN 155321 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 FacilityWakarusa, IN, CCN 155582 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 FacilityHartford City, IN, CCN 155576 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 FacilityColumbia City, IN, CCN 155150 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 FacilityIndianapolis, IN, CCN 155271 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 FacilityMiddletown, IN, CCN 155573 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 FacilityHuntington, IN, CCN 155059 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 FacilityHobart, IN, CCN 155251 Skilled nursing facility Corporate Officer
Corporate Director
Operational/Managerial Control
Mar 1, 2019
Mar 1, 2019
Mar 1, 2019
Miller's Merry ManorWalkerton, IN, CCN 155574 Skilled nursing facility Corporate Officer
Corporate Director
Operational/Managerial Control
Mar 1, 2019
Mar 1, 2019
Mar 1, 2019
Miller's Merry ManorNew Carlisle, IN, CCN 155578 Skilled nursing facility Corporate Officer
Corporate Director
Operational/Managerial Control
Mar 1, 2019
Mar 1, 2019
Mar 1, 2019
Miller's Merry ManorPortage, IN, CCN 155299 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 ManorCulver, IN, CCN 155589 Skilled nursing facility Operational/Managerial Control Mar 1, 2019
Miller's Merry ManorWarsaw, IN, CCN 155049 Skilled nursing facility Operational/Managerial Control Jan 1, 2025
Miller's Merry ManorGarrett, IN, CCN 155583 Skilled nursing facility Corporate Officer
Corporate Director
Operational/Managerial Control
Mar 1, 2019
Mar 1, 2019
Jan 1, 2025
Miller's Merry ManorHope, IN, CCN 155579 Skilled nursing facility Corporate Officer
Corporate Director
Operational/Managerial Control
Mar 1, 2019
Mar 1, 2019
Jan 1, 2025
Millers at Oak PointeColumbia City, IN, CCN 155128 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 EastWabash, IN, CCN 155006 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 WestWabash, IN, CCN 155627 Skilled nursing facility Corporate Officer (100%)
Corporate Director
Operational/Managerial Control
Mar 1, 2019
Mar 1, 2019
Mar 1, 2019
Millers Merry ManorMarion, IN, CCN 155173 Skilled nursing facility Corporate Officer
Corporate Director
Operational/Managerial Control
Mar 1, 2019
Mar 1, 2019
Jan 1, 2025
Millers Merry ManorMooresville, IN, CCN 155564 Skilled nursing facility Corporate Officer
Corporate Director
Operational/Managerial Control
Mar 1, 2019
Mar 1, 2019
Mar 1, 2019
Greenwood Village SouthGreenwood, IN, CCN 155026 Skilled nursing facility Corporate Officer
Operational/Managerial Control
Mar 1, 2019
Mar 1, 2019
Miller's Health & Rehab by Miller's Merry ManorLa Porte, IN, CCN 155297 Skilled nursing facility Corporate Officer
Corporate Director
Operational/Managerial Control
Mar 1, 2019
Mar 1, 2019
Jan 1, 2025
Compass ParkFranklin, IN, CCN 155593 Skilled nursing facility Corporate Officer (100%)
Operational/Managerial Control
Jun 1, 2019
Jun 1, 2019
Suburban HospiceNoblesville, IN, CCN 151547 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.

View all 38

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.

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

Verify at the official NPI Registry.