DANDRAE DOUSE (M.D.) – Undersea and Hyperbaric Medicine (Preventive Medicine) Physician, NPI 1609876531

DANDRAE DOUSE (M.D.) is a healthcare provider. based in Fort wayne, Indiana. specializing in Undersea and Hyperbaric Medicine (Preventive Medicine) Physician. They hold the professional credentials M.D.. They hold a License No. 01028388A (IN). The NPI Number for DANDRAE DOUSE (M.D.) is 1609876531

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DANDRAE DOUSE (M.D.)
NPI
1609876531
Phone
(260) 482-1004
Address
3926 NEW VISION DR
Enumeration Date
21 July 2005
Last Update Date
11 October 2022

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2608973308
Graduation Year
1976 (50 years ago)
PAC ID
9537356985
Group Practice PAC ID
2163336967
Professional Enrollment ID
I20101210000224

Contacts

FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
Secure Messaging
ddouse3437@Direct.Parkviewexchange.com
FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

Provider Addresses for DANDRAE DOUSE (M.D.)

  • 3926, New Vision Drive, Fort Wayne, Allen County, Indiana, 46845, United States

    FORT WAYNE, IN 468451712

    Phone: (260) 482-1004

    Fax: (260) 483-7894

    Type: Mailing

  • 401 N SAWYER RD

    KENDALLVILLE, IN 467552568

    Phone: (260) 347-8610

    Fax: (260) 347-8617

    Type: Location

  • 3810, New Vision Drive, Fort Wayne, Allen County, Indiana, 46845, United States

    FORT WAYNE, IN 468451708

    Phone: (260) 482-1004

    Fax: (260) 483-7894

    Type: Location

  • 11109 PARKVIEW PLAZA DR # 117

    FORT WAYNE, IN 468451701

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $148.

Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Smith+Nephew, Inc. ($54).

Total Amount

$148

General + Research + Ownership

Payments

8

Total payment records

General Amount

$148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes24773$0
11042Removal of skin and tissue, 20.0 sq cm or less7428$0
99203New patient office or other outpatient visit, 30-44 minutes3636$0
97597Removal of tissue from wound, 20.0 sq cm or less1411$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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Provider's Procedures

DANDRAE DOUSE (M.D.) performs procedures in Undersea and Hyperbaric Medicine (Preventive Medicine) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYIN11042Removal of skin and tissue first 20 sq cm or less10969

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163336967View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerNM
-IN
Nurse PractitionerIN
Family PracticeIN
-IN
-IN
Infectious DiseaseIN
Internal MedicineIN
-IN

Reviews

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Frequently asked questions

How do I look up DANDRAE DOUSE (M.D.) by NPI?
Use NPI 1609876531 when you need to reference DANDRAE DOUSE (M.D.) in forms, claims, or directories.
Is DANDRAE DOUSE (M.D.) currently active in the NPI registry?
CMS-published data lists DANDRAE DOUSE (M.D.) as an active registrant.
Does DANDRAE DOUSE (M.D.) list a primary specialty?
If you are matching referrals, note Undersea and Hyperbaric Medicine (Preventive Medicine) Physician for DANDRAE DOUSE (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DANDRAE DOUSE (M.D.)?
We surface Fort Wayne, Indiana for DANDRAE DOUSE (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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