Active NPI
Robert Patrick Daze, DO
- Dermatology Physician
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 02006709A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
18051 River Rd
Suite 105
Noblesville, IN 46062-7093
Phone (317) 779-3956
Hospital & facility affiliations
- Riverview Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.45 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 40 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 694 |
| Removal or shaving of skin growth | 16 |
| Skin biopsy | 322 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02006709A | IN | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront Dermatology, S.C. | Dermatology | Current | Accepting new patients |
| Forefront Dermatology, S.C. | Dermatology | Current | 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
- 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.
-
- Dermatology Physician
- Seymour, IN
- NPI 1659796225
-
- Dermatology Physician
- Marion, IN
- NPI 1285011650
-
- Dermatology Physician
- Columbus, OH
- NPI 1063365385
-
- Dermatology Physician
- Manitowoc, WI
- NPI 1578515904
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Noblesville, IN
- NPI 1700883717
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.