DR. DALLIS MARK BOWDITCH (M.D.) – Family Medicine Physician, NPI 1790788255

Family Medicine Physician

DR. DALLIS MARK BOWDITCH (M.D.) is a healthcare provider. based in Logansport, Indiana. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 01032465A (IN). The NPI Number for DR. DALLIS MARK BOWDITCH (M.D.) is 1790788255

Main info

Male

46 Years Of Experience

Accepts Medicare Assignment

Name

DR. DALLIS MARK BOWDITCH (M.D.)

NPI

1790788255

Phone

(574) 753-1462

Address

1201 MICHIGAN AVE

Enumeration Date

27 May 2005

Last Update Date

1 December 2015

Doctor Profile

Medical School Name

UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE

Secondary Phone

5747224006

Graduation Year

1980 (46 years ago)

PAC ID

7012901010

Group Practice PAC ID

8325379522

Professional Enrollment ID

I20071228000194

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for DR. DALLIS MARK BOWDITCH (M.D.)

Michigan Avenue, Logansport, Cass County, Indiana, 46947, United States
SUITE 140
LOGANSPORT, IN 469471580
Phone: (574) 753-1462
Fax: (574) 753-1465
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-03

PECOS data refreshed: 2026-05-27

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46947)

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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: 8325379522View full group profile

Name	Specialty	State
OLUWATOSIN S IJALE (FNP)	Nurse Practitioner	IL
MS. AMY L MAYERNIK (MSN FNP-C)	Nurse Practitioner	IN
MARY THERESA VU HOANG (M.D.)	Internal Medicine	TX
DR. HIMA BINDU PARCHURI (D.O.)	Family Practice, Internal Medicine, Geriatric Medicine	NJ
JOHN T BEUERLEIN (MD)	Internal Medicine, Pediatric Medicine	PA
DR. OBIAGELI SOGBETUN (M.D.)	Infectious Disease, Emergency Medicine, Internal Medicine	LA
DR. ELIZABETH E SAMUELS (D.O)	Internal Medicine	NJ
JESSICA L THORMAN (FNP-C)	Nurse Practitioner	IL
SARAH E. TODD (NP)	Nurse Practitioner	IN
ALEXA A CHAPMAN (NP)	Nurse Practitioner	IL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. DALLIS MARK BOWDITCH (M.D.)?

NPI 1790788255 is assigned to DR. DALLIS MARK BOWDITCH (M.D.) under the national enumeration system.

Is DR. DALLIS MARK BOWDITCH (M.D.) active in the national directory?

DR. DALLIS MARK BOWDITCH (M.D.)'s public NPI profile is in an active state.

What field does DR. DALLIS MARK BOWDITCH (M.D.) work in?

You can think of DR. DALLIS MARK BOWDITCH (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.

Where is DR. DALLIS MARK BOWDITCH (M.D.)'s primary listing?

We display Logansport, Indiana because that is what the record indicates for DR. DALLIS MARK BOWDITCH (M.D.).

How can I contact DR. DALLIS MARK BOWDITCH (M.D.)?

Phone or fax may appear on the official NPI record when supplied — verify before relying on them.