NPIMap

David G Dewar, M.D.

Individual provider Active NPI Family Medicine Physician · Chesterfield, IN

NPI 1770514929 · NPPES record last updated Jul 21, 2009

Key facts

NPI
1770514929
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
01043269 (IN)
Practice address
11 Skyview Dr
Chesterfield, IN 46017-1057
Phone
(765) 378-1572
Fax
(765) 378-1580
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
Saint John Health System Family Medicine Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01043269 IN Yes

Addresses

Primary practice location

11 Skyview Dr
Chesterfield, IN 46017-1057

Mailing address

10330 N Meridian St
Suite 201
Indianapolis, IN 46290-1024

Other identifiers

IdentifierTypeStateIssuer
DC3600OtherINRAILROAD GROUP
200030980MedicaidIN
CK6957OtherINRAILROAD GROUP
P00426385OtherINRAILROAD INDIVIDUAL
15D0889968OtherINCLIA
P00714993OtherINRAILROAD INDIVIDUAL

Other providers in Chesterfield, IN

All providers in Chesterfield, IN · Family Medicine Physician in Indiana

Sources for this page

Verify at the official NPI Registry.