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

Dr. Michael Odaniel, DO

Individual provider Emergency Medicine Physician · NPI 1790146629

Dr. Michael Odaniel, DO is an Emergency Medicine in Fort Wayne, Indiana. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2016, 10 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
IN
In the registry since
2016
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

2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone: (260) 373-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 02005977A (IN)

Record details

NPI number1790146629
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 20, 2016
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026
Mailing address608 Union Chapel Rd, Fort Wayne, IN 46845-9357

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2016 (10 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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