Individual provider Active NPI

Robert Patrick Daze, DO

  • Dermatology Physician
  • Carmel, IN
National Provider Identifier
1326535741
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
02006709A Issued in IN
Practice address
755 W Carmel Dr Ste 101
Carmel, IN 46032-5875
Phone
(317) 846-2396
Fax
(317) 846-1699
NPI assigned
Apr 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 02006709A IN Primary
Dermatology Physician 207N00000X 25751 CA

Addresses

Primary practice location

755 W Carmel Dr Ste 101
Carmel, IN 46032-5875

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

4020 New Vision Dr
Fort Wayne, IN 46845-1737
Phone (260) 423-2567

Other practice location 2

330 N Wabash Ave Ste 360
Marion, IN 46952-2678
Phone (765) 664-3292

Other practice location 3

8401 Pine Ave Ste 120
Chino, CA 91708-9658
Phone (909) 789-0937

Other practice location 4

70 W 94th Pl
Crown Point, IN 46307-1710
Phone (219) 662-8822

Other practice location 5

18051 River Rd Ste 105
Noblesville, IN 46062-7093
Phone (317) 779-3956

Other practice location 6

17471 Wheeler Rd Ste 114
Westfield, IN 46074-6903
Phone (317) 912-1377

Other practice location 7

859 E Foothill Blvd Ste B
Upland, CA 91786-4085
Phone (909) 981-8929

Other practice location 8

7516 Eagle Crest Blvd Ste D
Evansville, IN 47715-9142
Phone (812) 401-8999

Electronic endpoints 7

TypeEndpointUseAffiliation
Direct Messaging Address Robert.Daze@forefrontdermatology.emadirect.md
Direct Messaging Address Robert.Daze@forefrontdermatology.emadirect.md
Direct Messaging Address Robert.Daze@forefrontdermatology.emadirect.md
Direct Messaging Address Robert.Daze@forefrontdermatology.emadirect.md
Direct Messaging Address Robert.Daze@forefrontdermatology.emadirect.md
Direct Messaging Address Robert.Daze@forefrontdermatology.emadirect.md
Direct Messaging Address Robert.Daze@forefrontdermatology.emadirect.md Direct

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
I20220802000404 IN Practitioner - Dermatology 9234511619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Marian University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

18051 River Rd
Suite 105
Noblesville, IN 46062-7093
Phone (317) 779-3956

Hospital & facility affiliations

  • Riverview Health Hospital, Noblesville, IN, CCN 150059

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision40
Removal of tissue1-10
Removal of skin lesions694
Removal or shaving of skin growth16
Skin biopsy322

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02006709AINMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jul 13, 2023 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jul 13, 2023 Accepting new patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

755 W Carmel Dr
Ste 101
Carmel, IN 46032
Phone (317) 814-1104

70 W 94th Pl
Crown Point, IN 46307
Phone (219) 662-8822

7516 Eagle Crest Blvd
Ste D
Evansville, IN 47715
Phone (812) 401-8999

4020 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 423-2567

8325 S Emerson Ave
Ste C1
Indianapolis, IN 46237
Phone (317) 780-7400

330 N Wabash Ave
Ste 360
Marion, IN 46952
Phone (765) 664-3292

18051 River Rd
Ste 105
Noblesville, IN 46062
Phone (317) 779-3956

303 S Walnut St
Seymour, IN 47274
Phone (812) 358-7705

17471 Wheeler Rd
Ste 114
Westfield, IN 46074
Phone (317) 275-6131

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: robert.daze@hca4.eclinicaldirectplus.com

Organizations & group practices 4

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 1

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": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1326535741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 W CARMEL DR STE 101",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325875",
            "telephone_number": "317-846-2396",
            "fax_number": "317-846-1699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4020 New Vision Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451737",
            "country_code": "US",
            "telephone_number": "260-423-2567",
            "fax_number": "260-420-2415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 N Wabash Ave Ste 360",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469522678",
            "country_code": "US",
            "telephone_number": "765-664-3292",
            "fax_number": "765-662-7560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8401 Pine Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917089658",
            "country_code": "US",
            "telephone_number": "909-789-0937",
            "fax_number": "909-654-3039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 W 94th Pl",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463071710",
            "country_code": "US",
            "telephone_number": "219-662-8822",
            "fax_number": "219-662-8833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18051 River Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460627093",
            "country_code": "US",
            "telephone_number": "317-779-3956",
            "fax_number": "317-779-3978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17471 Wheeler Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "IN",
            "postal_code": "460746903",
            "country_code": "US",
            "telephone_number": "317-912-1377",
            "fax_number": "317-489-5830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "859 E Foothill Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917864085",
            "country_code": "US",
            "telephone_number": "909-981-8929",
            "fax_number": "909-946-9740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7516 Eagle Crest Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477159142",
            "country_code": "US",
            "telephone_number": "812-401-8999",
            "fax_number": "812-401-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAZE",
        "first_name": "ROBERT",
        "middle_name": "PATRICK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-20",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "02006709A",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "25751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Robert.Daze@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "70 W 94th Pl",
            "city": "Crown Point",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463071710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Robert.Daze@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "4020 New Vision Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Robert.Daze@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "7516 Eagle Crest Blvd Ste D",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477159142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Robert.Daze@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "755 W Carmel Dr Ste 101",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460325875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Robert.Daze@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "18051 River Rd Ste 105",
            "city": "Noblesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460627093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Robert.Daze@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "330 N Wabash Ave Ste 360",
            "city": "Marion",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469522678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Robert.Daze@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17471 Wheeler Rd Ste 114",
            "city": "Westfield",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460746903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.