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

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

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: July 19, 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.