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

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: August 16, 2026.

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.

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.

MRS. PAMELA R CHANEY RN CMEP
Registered Nurse (Plastic Surgery)
611 E DOUGLAS RD
MISHAWAKA, IN 46545
St. Joseph County (574) 968-3510
MIDWEST EYE CONSULTANTS, P.C.
Ophthalmology (Retina Specialist)
611 E DOUGLAS RD, SUITE 102
MISHAWAKA, IN 46545
St. Joseph County (260) 569-9550
NICHOLAS JAMES BUTTERMORE
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
MIDWEST ORTHOTIC SERVICES LLC
Prosthetic/Orthotic Supplier
611 E DOUGLAS RD
MISHAWAKA, IN 46545
St. Joseph County (574) 204-2416
DAVID WYNCOTT MD
Family Medicine
611 E DOUGLAS RD, SUITE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
MIDWEST MEDICAL GROUP, LLC
Internal Medicine (Cardiovascular Disease)
611 E DOUGLAS RD, SUITE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 232-5928
DR. AJAZUDDIN Z. SHAIKH M.D.
Internal Medicine (Cardiovascular Disease)
611 E DOUGLAS RD, STE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 232-5928
KEVIN R ERICSON MD
Family Medicine
611 E DOUGLAS RD, STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500

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 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.

Where is John Decelles located?

John Decelles practices at 611 E Douglas Rd Suite 309, Mishawaka, IN 46545. The listed phone number is (574) 472-6450.

What is John Decelles's specialty?

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

Is John Decelles enrolled in Medicare?

Yes. John Decelles is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Decelles was last updated on December 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.