Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kumpol Dennison, MD

Individual provider General Practice Physician · NPI 1275887770

Kumpol Dennison, MD practises General Surgery in Valparaiso, Indiana. Qualified in 1963, 63 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
63
Licensed in
IN
In the registry since
2012
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

44 Kilmartin Ct
Valparaiso, IN 46385-9304 Not confirmed with CMS for 10 years — call before visiting
Phone: (219) 688-3950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 01071776A (IN)

Record details

NPI number1275887770
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 5, 2012
Last updated in NPPESJune 7, 2016

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1963 (63 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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients15
Services billed 104 a service is one billed item, such as a visit, a test or a procedure
Average patient age51

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Cleanslate Medical Group of Indiana LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 61 clinicians in the practice; 12 are shown here.

Other providers in Valparaiso