DONALD SQUIRES DUNEVANT (MD) – Family Medicine Physician, NPI 1821059148

DONALD SQUIRES DUNEVANT (MD) is a healthcare provider. based in Portage, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 01033863 (IN). The NPI Number for DONALD SQUIRES DUNEVANT (MD) is 1821059148

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DONALD SQUIRES DUNEVANT (MD)
NPI
1821059148
Phone
(219) 759-1157
Address
3630 WILLOWCREEK RD
Enumeration Date
28 March 2006
Last Update Date
16 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7654420402
Graduation Year
1982 (44 years ago)
PAC ID
3375582265
Group Practice PAC ID
4880963909
Professional Enrollment ID
I20050429000497
Address ID
IN460132911AN4925XRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,861 FAMILY PRACTICE in IN

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Provider Addresses for DONALD SQUIRES DUNEVANT (MD)

  • Portage Hospital, 3630, Willowcreek Road, Portage, Porter County, Indiana, 46368, United States

    PORTAGE, IN 463685075

    Phone: (219) 759-1157

    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: 2005-04-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050429000497IFamily PracticeINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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
99214Established patient office or other outpatient visit, 30-39 minutes3714$0
View full utilization report →

Insurance plans in this area (ZIP 46368)

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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: 4880963909View full group profile
NameSpecialtyState
-KY
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
Physician AssistantIN
-IN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerTN

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to DONALD SQUIRES DUNEVANT (MD)?
The federal identifier for DONALD SQUIRES DUNEVANT (MD) is NPI 1821059148.
Is DONALD SQUIRES DUNEVANT (MD)'s NPI currently valid?
The extract we use shows DONALD SQUIRES DUNEVANT (MD) as active.
Can you summarize DONALD SQUIRES DUNEVANT (MD)'s specialty in plain language?
Clinically, the directory lists DONALD SQUIRES DUNEVANT (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DONALD SQUIRES DUNEVANT (MD) practice in Indiana?
You will see Portage, Indiana on file for DONALD SQUIRES DUNEVANT (MD) alongside any extra practice locations.
How can I contact DONALD SQUIRES DUNEVANT (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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