JEFFREY A. DEDELOW M.D. – NPI #1376758524
Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
JEFFREY DEDELOW is a radiologist located in BLOOMINGTON, IN. NPPES has assigned the NPI number 1376758524 to JEFFREY DEDELOW on May 11, 2007. 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 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology
The NPI profile was previously updated about 4 years ago on Dec 09, 2021. 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 JEFFREY DEDELOW below.
NPI Profile for
JEFFREY A. DEDELOW
(more than 19 years ago)
BLOOMINGTON, IN 47403-2316 Phone: (812) 353-3719 Fax:
1 Other location(s):
Bloomington, IN 47403-5003
Phone: (812) 332-8242
Fax: (812) 332-7684
INDIANAPOLIS, IN 46219-4959 Phone: Fax:
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.
Identifiers for JEFFREY DEDELOW
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | RAILROAD MEDICARE | IN | P01119545 |
| MEDICAID | IN | 201015030 | |
| MEDICAID | LA | 1049913 | |
| MEDICAID | MI | 5186380 | |
| MEDICAID | MS | 04377066 | |
| MEDICAID | OH | 0090190 |
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 |
|---|---|---|
| 2085R0202X - Radiology / Diagnostic Radiology (Primary) |
MI | 4301089258 |
| 2085N0904X - Radiology / Nuclear Radiology |
MI | 4301089258 |
| 207RH0002X - Internal Medicine / Hospice and Palliative Medicine |
IN | 01069197A |
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.
Health Information Exchange (HEI)
HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.
- Endpoint
- [email protected]
- Endpoint type
- Direct Messaging Address
- Endpoint Description
- Content Type
- Affiliation
- N
- Endpoint Location
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514 W 2ND ST,
BLOOMINGTON, IN 77025-1669