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DR. DALLIS MARK BOWDITCH M.D.
NPI 1790788255
Family Medicine in Logansport, IN

Active since May 27, 2005PECOS Enrolled
1201 MICHIGAN AVE, SUITE 140, LOGANSPORT, IN 46947(574) 753-1462(574) 753-1465 Get Directions Write a Review

NPPES record last updated: December 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dallis Mark Bowditch M.d. NPPES

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

DR. DALLIS MARK BOWDITCH M.D. (NPI 1790788255) is an individual family medicine provider in Logansport, Indiana, licensed in Indiana (01032465A) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790788255
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DALLIS MARK BOWDITCHCredential: M.D.
Location Address1201 MICHIGAN AVE, SUITE 140Logansport, IN 46947-1580
Mailing Address1201 Michigan Ave, Suite 140Logansport, IN 46947-1580 · (574) 753-1462 · Fax (574) 753-1465
Phone(574) 753-1462
Fax(574) 753-1465
Sole ProprietorNo
Enumeration DateMay 27, 2005
Last NPPES UpdateDecember 1, 2015
✔ NPI 1790788255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01032465A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1201 MICHIGAN AVE, Logansport, IN 46947
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Other Identifiers 8

Medicare UPINB28389
Medicaid100070810IN
Other6148784003IN · Cigna Id
Other000000546802Anthem Blue Cross
Other4216390IN · Aetna Id
Medicare PIN940670A4IN
Other080096741Medicare Railroad
Other112810COld Medicare Id #

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. Dallis Mark Bowditch M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46947 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 17

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

NAMITA SAHGAL MD
Pediatrics
1201 MICHIGAN AVE, STE 330
LOGANSPORT, IN 46947
Cass County (574) 753-4151
VIVEK S SAHGAL M.D., FACP
Internal Medicine
1201 MICHIGAN AVE, SUITE 170
LOGANSPORT, IN 46947
Cass County (574) 722-4331
HEALTH PROFESSIONAL RESOURCES INC
Pharmacy
1201 MICHIGAN AVE, STE 100
LOGANSPORT, IN 46947
Cass County (574) 732-0418
CHERIE A BENNETT M.D.
Internal Medicine
1201 MICHIGAN AVE, SUITE 170
LOGANSPORT, IN 46947
Cass County (574) 722-4331
MRS. KELLY LEANNE CARDEN FNP
Nurse Practitioner (Family)
1201 MICHIGAN AVE, SUITE 270
LOGANSPORT, IN 46947
Cass County (574) 722-4921
JORDAN ELISE WOOD NP
Nurse Practitioner (Family)
1201 MICHIGAN AVE
LOGANSPORT, IN 46947
Cass County (415) 157-4753
SARA CATHERINE KIRKWOOD MSW, LCSW, ACSW
Social Worker (Clinical)
1201 MICHIGAN AVE, STE 270
LOGANSPORT, IN 46947
Cass County (574) 722-4921
CRAIG PAWLOWSKI M.D.
Pediatrics
1201 MICHIGAN AVE
LOGANSPORT, IN 46947
Cass County (574) 753-7541

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 Dallis Bowditch's NPI number?

The NPI number for Dallis Bowditch is 1790788255. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Dallis Bowditch located?

Dallis Bowditch practices at 1201 Michigan Ave Suite 140, Logansport, IN 46947. The listed phone number is (574) 753-1462.

What is Dallis Bowditch's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dallis Bowditch enrolled in Medicare?

Yes. Dallis Bowditch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dallis Bowditch was last updated on December 1, 2015. 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.