Individual provider Active NPI

William Miller Dugan Jr., MD

  • Hematology & Oncology Physician
  • Indianapolis, IN
National Provider Identifier
1568434918
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
01020096A Issued in IN
Practice address
8091 Township Line Road
Suite 109
Indianapolis, IN 46260
Phone
(317) 802-9900
Fax
(317) 802-9911
NPI assigned
Feb 1, 2006
Last updated
Oct 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 01020096A IN Primary

Addresses

Primary practice location

8091 Township Line Road
Suite 109
Indianapolis, IN 46260

Mailing address

8091 Township Line Road
Suite 109
Indianapolis, IN 46260
Phone (317) 802-9900

Other identifiers 7

IdentifierTypeStateIssuer
100145620MedicaidIN
2046772OtherINCIGNA
P00759322OtherINRR MEDICARE (CLARIAN)
830002532OtherINRR MEDICARE (ICCC)
4128294OtherINAETNA
P00456524OtherINRR MEDICARE
000000475161OtherINANTHEM

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
I20040510000950 IN Practitioner - Hematology/Oncology 5294622254 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01020096AINMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Health System Inc CurrentSince Feb 11, 2015 Accepting new patients
Major Hospital Past Accepting new patients
Indiana Community Cancer Care, Inc. Hematology & Oncology PastSince Aug 25, 2004 Accepting new patients
Quality Oncology Care, P.C. Hematology & Oncology PastSince May 9, 2003 Accepting new patients
University Medical Diagnostic Associates, Inc. Hematology & Oncology Past Accepting new patients

Locations

817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590

3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

710 N East St
Wabash, IN 46992
Phone (219) 563-3131

710 N East St
Ste D
Wabash, IN 46992
Phone (260) 569-2901

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1568434918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8091 TOWNSHIP LINE ROAD",
            "address_2": "SUITE 109",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46260",
            "telephone_number": "317-802-9900",
            "fax_number": "317-802-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8091 TOWNSHIP LINE ROAD",
            "address_2": "SUITE 109",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46260",
            "telephone_number": "317-802-9900",
            "fax_number": "317-802-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAN",
        "first_name": "WILLIAM",
        "middle_name": "MILLER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01020096A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100145620",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2046772",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE (CLARIAN)",
            "identifier": "P00759322",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE (ICCC)",
            "identifier": "830002532",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4128294",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00456524",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000475161",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.