DR. MICHAEL ODANIEL D.O.
NPI 1790146629
Emergency Medicine in Fort Wayne, IN
About Dr. Michael Odaniel D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL ODANIEL D.O. (NPI 1790146629) is an individual emergency medicine provider in Fort Wayne, Indiana, licensed in Indiana (02005977A) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2016).
NPPES Registry Identity
Specialties & Licenses
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. Michael Odaniel D.o. 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 Reassignments
5Medicare enrollment records show Michael Odaniel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Wayne, IN 46805
- Reassigned Medicare billing, Indiana and Ohio enrollments
- 162 clinicians in this Medicare group
Fort Wayne, IN 46845
- Reassigned Medicare billing, Indiana enrollment
- 1,752 clinicians in this Medicare group
Bryan, OH 43506
- Reassigned Medicare billing, Ohio enrollment
- Also billed through NPI 1275575227 (Ohio)
- 45 clinicians in this Medicare group
Lagrange, IN 46761
- Reassigned Medicare billing, Indiana enrollment
- 93 clinicians in this Medicare group
Wabash, IN 46992
- Reassigned Medicare billing, Indiana enrollment
- 57 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 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Parkview Regional Medical Center
Acute Care Hospitals · Fort Wayne, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
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 Michael Odaniel's NPI number?
The NPI number for Michael Odaniel is 1790146629. It was assigned to this individual provider in the NPPES registry on March 20, 2016.
Where is Michael Odaniel located?
Michael Odaniel practices at 2200 Randallia Dr, Fort Wayne, IN 46805. The listed phone number is (260) 373-4000.
What is Michael Odaniel's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Michael Odaniel enrolled in Medicare?
Yes. Michael Odaniel 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 organizations bill Medicare for Michael Odaniel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Odaniel reassigns Medicare benefits to 5 organizations: Professional Emergency Physicians PC (Fort Wayne, IN), Parkview Health System,inc. (Fort Wayne, IN), Community Hospitals And Wellness Centers (Bryan, OH), Community Hospital Of Lagrange County Inc (Lagrange, IN) and Parkview Wabash Hospital, Inc. (Wabash, IN). Each 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 Michael Odaniel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Odaniel accept?
Health plans from CareSource list Michael Odaniel 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.
Is Michael Odaniel affiliated with any hospitals?
According to CMS data, Michael Odaniel is affiliated with Parkview Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Michael Odaniel was last updated on June 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.
# Dr. Michael Odaniel, D.O. · NPI 1790146629
Emergency Medicine physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since March 20, 2016.
## Identity
- **NPI:** 1790146629 (Entity type: Individual)
- **Enumerated:** March 20, 2016
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 02005977A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2200 RANDALLIA DR, Fort Wayne, IN 46805-4638
- **Phone:** (260) 373-4000
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Professional Emergency Physicians PC (NPI 1144215096, Fort Wayne, IN); Parkview Health System,inc. (NPI 1437461449, Fort Wayne, IN); Community Hospitals And Wellness Centers (NPI 1225167893, Bryan, OH); Community Hospital Of Lagrange County Inc (NPI 1679674956, Lagrange, IN); Parkview Wabash Hospital, Inc. (NPI 1245259878, Wabash, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Des Moines University Of Osteopathic Medicine And Health Sciences, class of 2016
## Record status
- **NPPES last updated:** June 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790146629) · Data from the CMS NPPES public registry.