NPIMap

Individual provider Active NPI

Dawn D Lagerkvist, MD

  • Family Medicine Physician
  • Marion, IN
National Provider Identifier
1407802531
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01059613A Issued in IN
Practice address
1320 W Spencer Ave
Marion, IN 46952-3415
Phone
(765) 613-0111
Fax
(765) 573-5660
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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 01059613A IN Primary

Addresses

Primary practice location

1320 W Spencer Ave
Marion, IN 46952-3415

Mailing address

1320 W Spencer Ave
Marion, IN 46952-3415
Phone (765) 613-0111

Other identifiers 1

IdentifierTypeStateIssuer
201035320AMedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dawn.lagerkvistmd.p77@direct.ahni.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019000661 IN Practitioner - Family Practice 0941261440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10995 Allisonville Rd
Suite 100
Fishers, IN 46038-2616
Phone (317) 842-7928

1320 W Spencer Ave
Marion, IN 46952-3415
Phone (765) 613-0111

276 Manchester Ave
Wabash, IN 46992-1808
Phone (260) 563-2126

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01059613AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana LLC CurrentSince Aug 1, 2013 Accepting new patients
American Health Network of Indiana, LLC Family Medicine CurrentSince Aug 1, 2013 Accepting new patients
Major Hospital Past Accepting new patients
American Health Network of Indiana, LLC Family Medicine Past Accepting new patients

Locations

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

1320 W Spencer Ave
Marion, IN 46952
Phone (765) 613-0111

1105 N Western Ave
Marion, IN 46952
Phone (765) 613-0111

Interoperability endpoints

  • Direct secure messaging: dlagerkvist191887@direct.optum.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 7

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1407802531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W SPENCER AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523415",
            "telephone_number": "765-613-0111",
            "fax_number": "765-573-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W SPENCER AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523415",
            "telephone_number": "765-613-0111",
            "fax_number": "765-573-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGERKVIST",
        "first_name": "DAWN",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01059613A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201035320A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dawn.lagerkvistmd.p77@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1320 W Spencer Ave",
            "city": "Marion",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469523415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

Verify at the official NPI Registry.