DR. PETER G DOUKAS MD
NPI 1538614441
Internal Medicine - Hematology & Oncology in Crown Point, IN

Active since August 20, 2016PECOS EnrolledAccepts Medicare Assignment
10191 BROADWAY STE 200, CROWN POINT, IN 46307(219) 924-8178(219) 924-8179 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 29, 2026, Jun 13, 2020, Aug 20, 2016 (3 updates tracked since 2016).

About Dr. Peter G Doukas Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PETER G DOUKAS MD (NPI 1538614441) is an individual hematology & oncology provider in Crown Point, Indiana, licensed in Indiana (01100190A) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (2020).

NPPES Registry Identity

NPI1538614441
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. PETER G DOUKASCredential: MD
Location Address10191 BROADWAY STE 200Crown Point, IN 46307-8801
Mailing Address10191 Broadway Ste 200Crown Point, IN 46307-8801 · (219) 924-8178 · Fax (219) 924-8179
Fax(219) 924-8179
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2020
Enumeration DateAugust 20, 2016
Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1538614441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in IN · 01100190A
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125.075562 (IL)
10191 BROADWAY STE 200, Crown Point, IN 46307

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

Dr. Peter G Doukas Md 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.

PECOS PAC ID2365865532
PECOS Enrollment IDI20260806003822
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Peter Doukas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1001 CALUMET AVE
Dyer, IN 46311
  • Reassigned Medicare billing, Indiana enrollment
  • 32 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Peter Doukas's NPI number?

The NPI number for Peter Doukas is 1538614441. It was assigned to this individual provider in the NPPES registry on August 20, 2016.

Where is Peter Doukas located?

Peter Doukas practices at 10191 Broadway Ste 200, Crown Point, IN 46307. The listed phone number is (219) 924-8178.

What is Peter Doukas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Peter Doukas enrolled in Medicare?

Yes. Peter Doukas 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 Peter Doukas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Doukas reassigns Medicare benefits to Northwest Cancer Centers, PC (Dyer, 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 Peter Doukas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Doukas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Peter Doukas 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 Peter Doukas was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.