Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Donald Squires Dunevant, MD

Individual provider Family Medicine Physician · NPI 1821059148

Donald Squires Dunevant, MD is a Family Practice in Portage, Indiana. Qualified in 1982, 44 years ago. Practices with Cleanslate Medical Group of Indiana LLC, a 61-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
44
Licensed in
IN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3630 Willowcreek Rd
Portage, IN 46368-5075
Phone: (219) 759-5791
Fax: (219) 759-3807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01033863 (IN)

Record details

NPI number1821059148
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2006
Last updated in NPPESMay 16, 2019
Mailing address3630 Willowcreek Rd, Portage, IN 46368-5075

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Cleanslate Medical Group Of Indiana Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Portage