NPIMap

Individual provider Active NPI

Richard Dobben, M.D.

  • Diagnostic Radiology Physician
  • Michigan City, IN
National Provider Identifier
1447252184
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01036761A Issued in IN
Practice address
301 W Homer St
Michigan City, IN 46360-4358
Phone
(219) 872-7464
Fax
(219) 877-1066
NPI assigned
Aug 12, 2005
Last updated
Jan 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01036761A IN Primary

Addresses

Primary practice location

301 W Homer St
Michigan City, IN 46360-4358

Mailing address

301 W Homer St
Michigan City, IN 46360-4358
Phone (219) 872-7464

Other identifiers 1

IdentifierTypeStateIssuer
100388040MedicaidIN

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
I20041215000465 IN Practitioner - Diagnostic Radiology 5395631980 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
R Franklin University of Med & Sci/Chicago Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
X-Ray Consultants IncGroup PAC ID 7315859832, 38 clinicians

Practice addresses (Care Compare)

Michigan City, IN 46360-9270
Phone (888) 501-6087

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Current Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Current Accepting new patients
Huron Valley Radiology PC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
X-Ray Consultants Inc Diagnostic Radiology CurrentSince Dec 6, 2021 Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc CurrentSince Mar 11, 2022 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. CurrentSince Mar 11, 2022 Accepting new patients
Southlake MRI & Diagnostic Center LLC Past Accepting new patients
Michigan City Radiologists, Inc Diagnostic Radiology Past Accepting new patients
Lutheran HBP Services, LLC Diagnostic Radiology Past Accepting new patients

Locations

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

611 E Douglas Rd
Ste 122
Mishawaka, IN 46545
Phone (574) 272-9991

611 E Douglas Rd
Ste 137
Mishawaka, IN 46545
Phone (574) 335-6214

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

510 W Adams St
Ste 150
Plymouth, IN 46563
Phone (574) 335-3987

121 S Saint Louis Blvd
South Bend, IN 46617
Phone (219) 233-3123

Interoperability endpoints

  • Direct secure messaging: rdobben1496573@direct.trinity-health.org
  • Direct secure messaging: rdobben58265@direct.franciscanalliance.org

Organizations & group practices 10

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.

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1447252184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W HOMER ST",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463604358",
            "telephone_number": "219-872-7464",
            "fax_number": "219-877-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HOMER ST",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463604358",
            "telephone_number": "219-872-7464",
            "fax_number": "219-877-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBEN",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01036761A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100388040",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

Verify at the official NPI Registry.