NPIMap

Individual provider Active NPI

Jay E Dege, MD

  • Family Medicine Physician
  • Danville, VT
National Provider Identifier
1023029980
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042-0010384 Issued in VT
Practice address
26 Cedar LN
Danville, VT 05828-9751
Phone
(802) 684-2275
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042-0010384 VT Primary

Addresses

Primary practice location

26 Cedar LN
Danville, VT 05828-9751

Mailing address

165 Sherman Dr
St Johnsbury, VT 05819-9811
Phone (802) 748-9405

Other identifiers 3

IdentifierTypeStateIssuer
0VN2886MedicaidVT
12294OtherNHLICENSE
30203212MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050707000778 VT Practitioner - Family Practice 4880676436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota, Duluth School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Counties Health Care IncGroup PAC ID 2860300936, 48 clinicians

Practice addresses (Care Compare)

137 Main St
Newport, VT 05855-4415
Phone (802) 995-2412

26 Cedar LN
Danville, VT 05828-9751
Phone (802) 684-2275

Hospital & facility affiliations

  • Caledonia Home Health Care Home health agency, Saint Johnsbury, VT, CCN 477010
  • Northeastern Vermont Regional Hospital Hospital, Saint Johnsbury, VT, CCN 471303
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • Central Vermont Medical Center Hospital, Barre, VT, CCN 470001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042-0010384VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Counties Health Care Inc CurrentSince Jan 1, 2015 Accepting new patients
Northern Counties Health Care, Inc. CurrentSince Jan 1, 2015 Accepting new patients
Northern Counties Health Care Past Accepting new patients
Mount Desert Island Hospital PastSince Feb 9, 2020 Accepting new patients

Locations

26 Cedar Ln
Danville, VT 05828
Phone (802) 684-2275

165 Sherman Dr
St Johnsbury, VT 05819
Phone (802) 748-9405

185 Sherman Dr
St Johnsbury, VT 05819
Phone (802) 748-5041

Interoperability endpoints

  • Direct secure messaging: jay.dege.1@28542.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1023029980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SHERMAN DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199811",
            "telephone_number": "802-748-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CEDAR LN",
            "city": "DANVILLE",
            "state": "VT",
            "postal_code": "058289751",
            "telephone_number": "802-684-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGE",
        "first_name": "JAY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042-0010384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN2886",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "12294",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30203212",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VT

Sources for this page

Verify at the official NPI Registry.