Individual provider Active NPI

Dolly R. Quispe Leveau, M.D.

  • Hematology & Oncology Physician
  • Fort Wayne, IN
National Provider Identifier
1821209370
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
01072629A Issued in IN
Practice address
7910 W Jefferson Blvd
Fort Wayne, IN 46804-4159
Phone
(260) 484-8830
Fax
(260) 843-1911
NPI assigned
May 25, 2007
Last updated
May 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 201075 LA
Medical Oncology Physician 207RX0202X 01072629A IN
Hematology (Internal Medicine) Physician 207RH0000X 201075 LA
Hematology & Oncology Physician 207RH0003X 01072629A IN Primary

Addresses

Primary practice location

7910 W Jefferson Blvd
Fort Wayne, IN 46804-4159

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (855) 963-2100

Other identifiers 2

IdentifierTypeStateIssuer
201184930MedicaidIN
0088372MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131004000300 IN Practitioner - Hematology/Oncology 8325194806 Reassigns benefits to 2 organizations
I20210225001165 OH Practitioner - Hematology/Oncology 8325194806

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

2514 E Dupont Rd
Suite 100
Fort Wayne, IN 46825-1619
Phone (260) 484-8830

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.69 of 100Reported as group
Quality
86.47
Promoting interoperability
81
Improvement activities
40
Cost
60.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201075LAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncology Partners PA Hematology CurrentSince Jan 2, 2025 Accepting new patients
Fort Wayne Medical Oncology and Hematology, Inc Hematology & Oncology CurrentSince Sep 1, 2013 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

516 E Maumee St
Angola, IN 46703
Phone (219) 624-2120

303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800

1100 Mercer Ave
Decatur, IN 46733

11143 Parkview Plaza Dr
Ste 100
Fort Wayne, IN 46845
Phone (260) 266-7400

2514 E DuPont Rd
Fort Wayne, IN 46825

2514 E DuPont Rd
Ste 100
Fort Wayne, IN 46825
Phone (260) 490-7337

6610 Mutual Dr
Fort Wayne, IN 46825

7910 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (219) 436-2424

7910 W Jefferson Blvd
Ste 108
Fort Wayne, IN 46804
Phone (219) 484-8830

8550 Naab Rd
Ste 205
Indianapolis, IN 46260
Phone (317) 338-6040

610 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-5592

2505 N Lebanon St
Ste 125
Lebanon, IN 46052
Phone (765) 483-7333

1025 Michigan Ave
Logansport, IN 46947
Phone (574) 753-9000

1123 N Western Ave
Marion, IN 46952
Phone (765) 651-9347

737 N Detroit St
Warsaw, IN 46580
Phone (260) 436-0259

208 Columbus St
Ste 4
Hicksville, OH 43526

Organizations & group practices 3

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 5

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1821209370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "855-963-2100",
            "fax_number": "239-236-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044159",
            "telephone_number": "260-484-8830",
            "fax_number": "260-843-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUISPE LEVEAU",
        "first_name": "DOLLY",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "201075",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IN",
            "license": "01072629A",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "LA",
            "license": "201075",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01072629A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201184930",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0088372",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.