Individual provider Active NPI

Sesame Dijeng, M.D.

  • Emergency Medicine Physician
  • North Vernon, IN
National Provider Identifier
1093767253
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01049289A Issued in IN
Practice address
301 Henry St
North Vernon, IN 47265-1063
Phone
(812) 352-4454
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01049289A IN
Family Medicine Physician 207Q00000X 33454 KY
Emergency Medicine Physician 207P00000X 01049289A IN Primary

Addresses

Primary practice location

301 Henry St
North Vernon, IN 47265-1063

Mailing address

1029 Monarch St
Ste 140
Lexington, KY 40513-1904
Phone (859) 338-4611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01049289AINMDEmergency Medicine Physician
33454KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Emergency Medicine Past Accepting new patients
Emergency Medicine Professionals of Indiana LLC Emergency Medicine Past Accepting new patients
Midwest Medical Management, P.C. Emergency Medicine Past Accepting new patients
Midwest Medical Management, P.C. Emergency Medicine Past Accepting new patients
Nes Indiana, Inc. Emergency Medicine Past Accepting new patients
St. Vincent Health Wellness and Preventive Care Institute, Inc. Past Accepting new patients
Peony Emergency Physicians Emergency Medicine Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1093767253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 MONARCH ST",
            "address_2": "STE 140",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131904",
            "telephone_number": "859-338-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HENRY ST",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472651063",
            "telephone_number": "812-352-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIJENG",
        "first_name": "SESAME",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01049289A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "33454",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01049289A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Vernon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.