JOHN M DECELLES M.D.
NPI 1841238490
Internal Medicine in Mishawaka, IN

Q: What is John Decelles's NPI number?

The NPI number for John Decelles is 1841238490. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Q: What is John Decelles's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for John Decelles was last updated on December 4, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 04, 2006PECOS Enrolled

611 E DOUGLAS RD, SUITE 309, MISHAWAKA, IN 46545(574) 472-6450(574) 472-6474 Get Directions Write a Review

NPPES record last updated: December 4, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About John M Decelles M.d. NPPES

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

JOHN M DECELLES M.D. (NPI 1841238490) is an individual internal medicine provider in Mishawaka, Indiana, licensed in Indiana (01051161) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841238490

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJOHN M DECELLESCredential: M.D.

Location Address611 E DOUGLAS RD, SUITE 309Mishawaka, IN 46545-1467

Mailing AddressPo Box 6309South Bend, IN 46660-6309 · (574) 472-6700 · Fax (574) 472-6746

Phone(574) 472-6450

Fax(574) 472-6474

Sole ProprietorNo

Enumeration DateJune 4, 2006

Last NPPES UpdateDecember 4, 2009

✔ NPI 1841238490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IN · 01051161

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

611 E DOUGLAS RD, Mishawaka, IN 46545

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Other Identifiers 6

Medicare PIN110229017IN

Other000000215219IN · Bcbs

Medicare PIN187720CIN

Other021236800IN · Federal Black Lung

Medicare UPING38134

Medicaid200228210AIN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John M Decelles M.d. 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.

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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

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.