MICHAEL C OVERDAHL MD NPI 1316990112

NPI Information

  • NPI: 1316990112
  • Provider Name: MICHAEL C OVERDAHL, MD
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11104 PARKVIEW CIRCLE DR
    SUITE 410
    FORT WAYNE, IN
    ZIP 46845
  • Phone: (260) 266-5260

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NPI Details

Michael C Overdahl, MD is a pulmonary disease internal medicine in Fort Wayne, IN with 40 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Michael C Overdahl, MD NPI is 1316990112. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1986

The provider's business location address is:

11104 PARKVIEW CIRCLE DR
SUITE 410
FORT WAYNE, IN
ZIP 46845-672
Phone: (260) 266-5260
Fax: (260) 266-5269

The NPI 1316990112 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Test to determine lung volumes using sensors (HCPCS:94726)
  • Test to examine how well the lungs exchange gases (HCPCS:94729)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Test to examine how well the lungs exchange gases (HCPCS:94729)
  • Test to determine lung volumes using sensors (HCPCS:94726)
  • Test to measure rate of airflow (HCPCS:94375)
  • Test to measure rate of airflow (HCPCS:94375)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
  • Test to measure expiratory airflow and volume changes before and after medication administration (HCPCS:94060)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 5/19/2006 and was last updated on 10/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary Disease01042341INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00685770OTHERINDIANARR MEDICARE
2200015210MEDICAIDINDIANA
3000000576774OTHERINDIANAANTHEM
4000000670288OTHERINDIANAANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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