1. Home
  2. Directory
  3. Indiana
  4. Mishawaka
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DR. RODOLPH ELIE DAGHER DPM
NPI 1629917513
Student in an Organized Health Care Education/Training Program in Mishawaka, IN

Active since March 26, 2026PECOS Enrolled
611 E DOUGLAS RD STE 101, MISHAWAKA, IN 46545(574) 335-6800(574) 335-0732 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rodolph Elie Dagher Dpm NPPES

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

DR. RODOLPH ELIE DAGHER DPM (NPI 1629917513) is an individual student in an organized health care education/training program in Mishawaka, Indiana and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629917513
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. RODOLPH ELIE DAGHERCredential: DPM
Location Address611 E DOUGLAS RD STE 101Mishawaka, IN 46545-1464
Mailing Address611 E Douglas Rd Ste 101Mishawaka, IN 46545-1464 · (574) 335-6800 · Fax (574) 335-0732
Phone(574) 335-6800
Fax(574) 335-0732
Sole ProprietorNo
Enumeration DateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
✔ NPI 1629917513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
611 E DOUGLAS RD STE 101, Mishawaka, IN 46545
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rodolph Elie Dagher Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FABEIHA A KHAN
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 101
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6800
DR. PRIYA MAYUR THAKKAR DPM
Podiatrist (Foot & Ankle Surgery)
611 E DOUGLAS RD STE 101
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6817
AUSTIN WILLIAM VONASEK DPM
Podiatrist (Foot & Ankle Surgery)
611 E DOUGLAS RD STE 101
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6817
CHRISTOPHER D OVERTON
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 101
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6817
JASON R GROVE DPM
Podiatrist
611 E DOUGLAS RD STE 101
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6800
DR. SOPHIA ELIZABETH MEIER DPM
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 101
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6214

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 Rodolph Dagher's NPI number?

The NPI number for Rodolph Dagher is 1629917513. It was assigned to this individual provider in the NPPES registry on March 26, 2026.

Where is Rodolph Dagher located?

Rodolph Dagher practices at 611 E Douglas Rd Ste 101, Mishawaka, IN 46545. The listed phone number is (574) 335-6800.

What is Rodolph Dagher's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Rodolph Dagher enrolled in Medicare?

Yes. Rodolph Dagher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rodolph Dagher was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.