Individual provider Active NPI

Rejmon Dedaj, M.D.

  • Pulmonary Disease Physician
  • Owensboro, KY
National Provider Identifier
1124297361
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
46072 Issued in KY
Practice address
2609 New Hartford Rd
Owensboro, KY 42303-1316
Phone
(270) 215-3140
Fax
(270) 240-4820
NPI assigned
Feb 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 01083334A IN
Pulmonary Disease Physician 207RP1001X 46072 KY Primary

Addresses

Primary practice location

2609 New Hartford Rd
Owensboro, KY 42303-1316

Mailing address

PO Box 3407
Evansville, IN 47733-3407
Phone (812) 450-6815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130717000572 KY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9133395502 Reassigns benefits to 2 organizations
I20200513000884 IN Practitioner - Pulmonary Disease 9133395502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

1305 N Elm St
Henderson, KY 42420-2783
Phone (812) 450-3036

2851 New Hartford Rd
Owensboro, KY 42303-1320
Phone (270) 215-3140

519 Harriet St
Evansville, IN 47710-1715
Phone (812) 450-7720

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038
  • Baptist Health Deaconess Madisonville Hospital, Madisonville, KY, CCN 180093
  • Ohio County Hospital Hospital, Hartford, KY, CCN 181323
  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46072KYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Hospital, Inc Current Accepting new patients
Deaconess Hospital Inc CurrentSince May 1, 2020 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Ohio County Hospital Corporation CurrentSince May 1, 2019 Accepting new patients
Deaconess Hospital, Inc Pulmonary Disease CurrentSince May 1, 2020 Accepting new patients
Deaconess Hospital, Inc CurrentSince May 1, 2020 Accepting new patients
Ohio County Hospital Corporation CurrentSince May 1, 2019 Accepting new patients

Locations

519 Harriet St
Evansville, IN 47710
Phone (812) 423-9699

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

415 W Columbia St
#100
Evansville, IN 47710
Phone (812) 450-6200

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

1215 Old Main St
Hartford, KY 42347
Phone (270) 298-5401

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

2851 New Hartford Rd
Owensboro, KY 42303
Phone (270) 215-3140

2609 New Hartford Rd
Owensboro, KY 42303
Phone (270) 215-2601

Interoperability endpoints

  • Direct secure messaging: rdedaj69182@direct.deaconess.com
  • Direct secure messaging: rejmon.dedaj@lacp-ky.direct.office.nextgen.com

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.

Hospital & facility affiliations 6

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": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1124297361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3407",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477333407",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 NEW HARTFORD RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031316",
            "telephone_number": "270-215-3140",
            "fax_number": "270-240-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDAJ",
        "first_name": "REJMON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-21",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01083334A",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "46072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.