Dan Liviu Dusleag, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01048041A Issued in IN

Practice address

3209 W Reddy Way
Bloomington, IN 47403-4088

Phone

(812) 276-1391

NPI assigned

Sep 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ddusleag@yourcarecommunity.org
• Direct secure messaging: dan.dusleag.1@8479.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/8479/brand/1/csg/1/fhir/r4

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.

• Monroe Medical Group Inc

  • Family Medicine Physician
  • Bloomington, IN
  • NPI 1568627206
  Medicare reassignment NPD

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1265426092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 W REDDY WAY",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 W REDDY WAY",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034088",
            "telephone_number": "812-276-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSLEAG",
        "first_name": "DAN",
        "middle_name": "LIVIU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01048041A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200196420A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER #",
            "identifier": "0000000307496",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maxwell Dunn, RBT
• Elaine D Dupler, MD
• James F Dupler, MD
• Kaitlyn Anne Duran, OD
• Meredith Durham, RBT
• Tammy Dutkowski
• Tabitha Brooke Duvall
• David A Dwyer, M.D.
• Mary E Dy, OD
• Dycora Transitional Health - Bloomington LLC

• Pediatrics Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.