PETER M. DEJONG MD – NPI #1750887493
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

PETER DEJONG is a physician located in SHERWOOD, OR. NPPES has assigned the NPI number 1750887493 to PETER DEJONG on April 02, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Nov 10, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PETER DEJONG below.

NPI Profile for
PETER M. DEJONG

NPI Number
1750887493
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PETER M. DEJONG
Credentials
MD
Primary location
16770 SW EDY RD STE 102
SHERWOOD, OR 97140-9679
Phone: (503) 216-9600 Fax:
1 Other location(s):
1250 E 3900 S Ste 260
Salt Lake City, UT 84124-1371
Phone: (801) 268-2000
Mailing address
PO BOX 3158
PORTLAND, OR 97208-3158
Phone: (503) 215-6494 Fax:
Sole Proprietor
No
Updated
Certification Date
Nov 10, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 OR MD212000
2083S0010X
- Preventive Medicine / Sports Medicine		 OR MD212000

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE - Graduated 2018
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
PETER DEJONG is affiliated with the following medical group(s):
  • HOSPITAL
    • PROVIDENCE NEWBERG MEDICAL CENTER
      1001 PROVIDENCE DRIVE
      NEWBERG, OR 97132
    • PROVIDENCE PORTLAND MEDICAL CENTER
      4805 NE GLISAN STREET
      PORTLAND, OR 97213

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.