1. Home
  2. Directory
  3. Indiana
  4. South Bend
  5. Pediatrics
  6. NPI Profile

MARY T DEGENEFFE MD
NPI 1700841640
Pediatrics - Neonatal-Perinatal Medicine in South Bend, IN

Active since April 20, 2006PECOS Enrolled
615 N MICHIGAN ST, SOUTH BEND, IN 46601(574) 647-7141(574) 647-7248 Get Directions Write a Review

NPPES record last updated: July 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary T Degeneffe Md NPPES

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

MARY T DEGENEFFE MD (NPI 1700841640) is an individual neonatal-perinatal medicine provider in South Bend, Indiana, licensed in Indiana (01042506) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700841640
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameMARY T DEGENEFFECredential: MD
Location Address615 N MICHIGAN STSouth Bend, IN 46601-1033
Mailing Address615 N Michigan StSouth Bend, IN 46601-1033 · (574) 647-7141
Phone(574) 647-7141
Fax(574) 647-7248
Sole ProprietorNo
Enumeration DateApril 20, 2006
Last NPPES UpdateJuly 29, 2008
✔ NPI 1700841640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in IN · 01042506
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 01042506 (IN), 4301084504 (MI), 036086895 (IL)
615 N MICHIGAN ST, South Bend, IN 46601
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary T Degeneffe Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

AARON MICHAEL MOJICA CRNA
Nurse Anesthetist, Certified Registered
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 612-2476
RACHEL ANN JENNINGS NP
Nurse Practitioner
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1000
DR. GEVORG MARTIROSYAN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3119
BRANDON WELLER MD
Ophthalmology
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1000
MELINDA DEUBNER PHARMD
Pharmacist (Critical Care)
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-6302
MELISSA MARIE GLASER RN
Registered Nurse (Case Management)
615 N MICHIGAN ST, MEMORIAL HOSPITAL- COMMUNITY HEALTH ENHANCEMENT
SOUTH BEND, IN 46601
St. Joseph County (574) 647-2173
MRS. NANCY ANN TAGHON RD
Dietitian, Registered
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-6351
DR. NICHOLAS HAROLD KERR DO
Family Medicine (Hospice and Palliative Medicine)
615 N MICHIGAN ST, 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Degeneffe's NPI number?

The NPI number for Mary Degeneffe is 1700841640. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Mary Degeneffe located?

Mary Degeneffe practices at 615 N Michigan St, South Bend, IN 46601. The listed phone number is (574) 647-7141.

What is Mary Degeneffe's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Mary Degeneffe enrolled in Medicare?

Yes. Mary Degeneffe is registered in the Medicare PECOS enrollment system.

What insurance does Mary Degeneffe accept?

Health plans from Priority Health list Mary Degeneffe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Degeneffe was last updated on July 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.