KURTIS DEJONG MD
NPI 1184680159
Emergency Medicine in Mishawaka, IN

Q: What is Kurtis Dejong's NPI number?

The NPI number for Kurtis Dejong is 1184680159. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Q: What is Kurtis Dejong's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Kurtis Dejong was last updated on December 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 April 26, 2006PECOS EnrolledAccepts Medicare Assignment

5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENT, MISHAWAKA, IN 46545(574) 335-5000 Get Directions Write a Review

NPPES record last updated: December 16, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kurtis Dejong Md NPPES

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

KURTIS DEJONG MD (NPI 1184680159) is an individual emergency medicine provider in Mishawaka, Indiana, licensed in Indiana (01039621) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center - Plymouth, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1990).

NPPES Registry Identity

NPI1184680159

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameKURTIS DEJONGCredential: MD

Location Address5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENTMishawaka, IN 46545-1469

Mailing Address5215 Holy Cross Pkwy, Emergency DepartmentMishawaka, IN 46545-1469 · (574) 335-5000

Phone(574) 335-5000

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1990

Enumeration DateApril 26, 2006

Last NPPES UpdateDecember 16, 2011

✔ NPI 1184680159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IN · 01039621

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 01039621 (IN)

5215 HOLY CROSS PKWY, Mishawaka, IN 46545

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Other Identifiers 6

Medicare UPINE52700IN

Medicare ID-Type Unspecified176490KIN

Medicaid200022520IN

Other000000190295IN · Anthem

Other930102831IN · Rail Road Medicare

Medicaid104943838MI

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

Kurtis Dejong Md 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 ID7113099177

PECOS Enrollment IDI20090406000106

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

178 services164 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

94 services85 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

75 services69 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

25 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Joseph Regional Medical Center - Plymouth

Acute Care Hospitals · Plymouth, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150076

Location1915 Lake AvePlymouth, IN 46563 · Marshall County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

MINI SRA

Internal Medicine