DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1225243892

NPI Code Detail

MEDICARE: MICHAEL ROBERT DORWART MD

MEDICARE: MICHAEL ROBERT DORWART MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	01064446A	IN
2	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician	01064446A	IN
3	208VP0014X	Interventional Pain Medicine Physician	01064446A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	M400046439	OTHER	IN	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000715005	OTHER	IN	ANTHEM
4	01064446A	OTHER	IN	STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1225243892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL ROBERT DORWART MD

Provider Business Mailing Address
First Line	:	8805 N MERIDIAN ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-2760
Country	:	US
Telephone Number	:	317-706-7246
Fax Number	:	317-706-3417

Provider Business Practice Location Address
First Line	:	8805 N MERIDIAN ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-2760
Country	:	US
Telephone Number	:	317-706-7246
Fax Number	:	317-706-3417

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	05/19/2025

Similar Medicare Providers

1245854801 — JESSICA RIDGE NP
Practice Location Address:

8805 N MERIDIAN ST
INDIANAPOLIS, IN
46260-2760

Practice Phone: 317-706-7246
Practice Fax: 317-706-3417

1366215071 — KEIONA L WALLER APRN, FNP-BC
Practice Location Address:

8805 N MERIDIAN ST
INDIANAPOLIS, IN
46260-2760

Practice Phone: 317-706-7246
Practice Fax:

1528022514 — APRIL NODINE PA-C
Practice Location Address:

8805 N MERIDIAN ST
INDIANAPOLIS, IN
46260-2760

Practice Phone: 317-706-7246
Practice Fax:

1447356704 — DR. JOCELYN L. BUSH M.D.
Practice Location Address:

8805 N MERIDIAN ST
INDIANAPOLIS, IN
46260-2760

Practice Phone: 317-706-7246
Practice Fax: 317-706-3419

1780864926 — SHADELAND ANESTHESIA
Practice Location Address:

8805 N MERIDIAN ST
INDIANAPOLIS, IN
46260-2760

Practice Phone: 317-706-3415
Practice Fax: 317-706-3419

1275874497 — MR. TED J WESTLUND PA
Practice Location Address:

8805 N MERIDIAN ST
INDIANAPOLIS, IN
46260-2760

Practice Phone: 317-706-7246
Practice Fax: 317-706-3419

Directions to “ MICHAEL ROBERT DORWART MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.