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

Douglas C Dedelow, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1861492993

Douglas C Dedelow, DO is an Obstetrics/Gynecology in Hobart, Indiana. Graduated from Midwestern University, Chicago College of Osteopathic Med in 1992, 34 years ago. Practices with Community Care Network Inc, a 374-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
34
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
IN
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1400 S Lake Park Ave Ste 205
Hobart, IN 46342-6790
Phone: (219) 942-8620
Fax: (219) 942-6356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 02001822A (IN)

Record details

NPI number1861492993
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 29, 2005
Last updated in NPPESJuly 29, 2010
Mailing address9660 Wicker Avenue, St John, IN 46373-9487

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 1992 (34 years in practice)
Group practice Community Care Network Inc — 374 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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