KUMPOL DENNISON M.D.
NPI 1275887770
General Practice in Valparaiso, IN
About Kumpol Dennison M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KUMPOL DENNISON M.D. (NPI 1275887770) is an individual general practice provider in Valparaiso, Indiana, licensed in Indiana (01071776A) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS and is a graduate of Other (1963).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kumpol Dennison M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kumpol Dennison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Alexandria, IN 46001
- Reassigned Medicare billing, Indiana enrollment
- 113 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kumpol Dennison's NPI number?
The NPI number for Kumpol Dennison is 1275887770. It was assigned to this individual provider in the NPPES registry on November 5, 2012.
Where is Kumpol Dennison located?
Kumpol Dennison practices at 44 Kilmartin Ct, Valparaiso, IN 46385. The listed phone number is (219) 688-3950.
What is Kumpol Dennison's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Kumpol Dennison enrolled in Medicare?
Yes. Kumpol Dennison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kumpol Dennison's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kumpol Dennison reassigns Medicare benefits to Cleanslate Medical Group Of Indiana LLC (Alexandria, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kumpol Dennison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kumpol Dennison accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Kumpol Dennison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kumpol Dennison was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kumpol Dennison, M.D. · NPI 1275887770
General Practice physician in Valparaiso, Indiana. Individual provider, active in the CMS NPPES registry since November 5, 2012.
## Identity
- **NPI:** 1275887770 (Entity type: Individual)
- **Enumerated:** November 5, 2012
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 01071776A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 44 KILMARTIN CT, Valparaiso, IN 46385-9304
- **Phone:** (219) 688-3950
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cleanslate Medical Group Of Indiana LLC (NPI 1023464294, Alexandria, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1963
## Record status
- **NPPES last updated:** June 7, 2016
- **Other identifiers:** Medicare UPIN 260110002 (IN); Medicaid 100142380 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1275887770) · Data from the CMS NPPES public registry.