KIM H DEDEUS PA-C
NPI 1063408144
Physician Assistant - Surgical in Portsmouth, NH

Q: What is Kim Dedeus's NPI number?

The NPI number for Kim Dedeus is 1063408144. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Q: What is Kim Dedeus's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kim Dedeus was last updated on February 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since September 23, 2005PECOS EnrolledAccepts Medicare Assignment

333 BORTHWICK AVE, MEDICAL OFFICE BUILDING SUITE 301, PORTSMOUTH, NH 03801(603) 431-5858(603) 431-5818 Get Directions Write a Review

NPPES record last updated: February 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kim H Dedeus Pa-c NPPES

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

KIM H DEDEUS PA-C (NPI 1063408144) is an individual surgical provider in Portsmouth, New Hampshire, licensed in New Hampshire (0504P) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1063408144

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameKIM H DEDEUSCredential: PA-C

Location Address333 BORTHWICK AVE, MEDICAL OFFICE BUILDING SUITE 301Portsmouth, NH 03801-7128

Mailing Address333 Borthwick Ave, Medical Office Building Suite 301Portsmouth, NH 03801-7128 · (603) 431-5858 · Fax (603) 431-5818

Phone(603) 431-5858

Fax(603) 431-5818

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateSeptember 23, 2005

Last NPPES UpdateFebruary 16, 2017

✔ NPI 1063408144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NH · 0504P

333 BORTHWICK AVE, Portsmouth, NH 03801

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Other Identifiers 2

Medicare ID-Type UnspecifiedAP2153NH

Medicare UPINQ19183NH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kim H Dedeus Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113998105

PECOS Enrollment IDI20040803001498

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

20 services19 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

16 services14 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services15 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

15 services12 patients

Other Providers at the Same Location NPPES 20

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

DR. JOHN PAUL GENS JR. MD

Surgery

333 BORTHWICK AVE, SUITE 305
PORTSMOUTH, NH 03801

Rockingham County (603) 433-6994

YOO NA CHUN MD

Student in an Organized Health Care Education/Training Program