DANDRAE DOUSE M.D. NPI 1609876531

NPI Information

NPI: 1609876531
Provider Name: DANDRAE DOUSE, M.D.
Classification: Preventive Medicine - 2083P0011X
Specialization: Undersea and Hyperbaric Medicine
Entity Type: Individual
Address: 401 N SAWYER RD
KENDALLVILLE, IN
ZIP 46755
Phone: (260) 347-8610

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NPI Details

Dandrae Douse, M.D. is an undersea and hyperbaric medicine preventive medicine in Kendallville, IN. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. Dandrae Douse, M.D. NPI is 1609876531. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

401 N SAWYER RD
KENDALLVILLE, IN
ZIP 46755-568
Phone: (260) 347-8610
Fax: (260) 347-8617

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.

Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 7/21/2005 and was last updated on 10/11/2022.

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
1	207L00000X	Anesthesiology		01028388A	INDIANA	No
2	2083P0011X	Preventive Medicine	Undersea and Hyperbaric Medicine	01028388	INDIANA	Yes

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
1	1235	OTHER	INDIANA	PHP
2	100322930A	MEDICAID	INDIANA
3	000000082078	OTHER	INDIANA	ANTHEM BC/BS

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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