Jose Miguel Dejesus-Rolenson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34.012543 Issued in OH

Practice address

1000 Veterans Dr
Jackson, OH 45640-9586

Phone

(740) 395-8090

Fax

(740) 395-8197

NPI assigned

Apr 1, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Family Practice

Education

West Virginia School of Osteopathic Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adena Home Health Home health agency, Chillicothe, OH, CCN 367271
• Pleasant Valley Home Health Home health agency, Gallipolis, OH, CCN 368353
• National Church Residences Home and Community Serv Home health agency, Chillicothe, OH, CCN 368083
• Holzer Home Care Home health agency, Gallipolis, OH, CCN 367117
• Adena Hospice Hospice, Chillicothe, OH, CCN 361591
• Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
• Holzer Medical Center Jackson Hospital, Jackson, OH, CCN 361320
• Adena Pike Medical Center Hospital, Waverly, OH, CCN 361334

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdejesus1060630@direct.osumc.edu

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.

• Adena Medical Group LLC

  • Family Medicine Physician
  • Chillicothe, OH
  • NPI 1235468083
  Medicare reassignment Care Compare group NPD

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

• Adena Health System

  • General Acute Care Hospital
  • Chillicothe, OH
  • NPI 1902839673
  Care Compare affiliation
• Adena Home Health, LLC

  • Home Health Agency
  • Chillicothe, OH
  • NPI 1700805538
  Care Compare affiliation
• Adena Hospice, LLC

  • Community Based Hospice Care Agency
  • Chillicothe, OH
  • NPI 1417130170
  Care Compare affiliation
• Holzer Hospital Foundation

  • Home Health Agency
  • Gallipolis, OH
  • NPI 1700805421
  Care Compare affiliation
• Holzer Medical Center Jackson

  • Critical Access Hospital
  • Jackson, OH
  • NPI 1669410940
  Care Compare affiliation
• LHCG Xci, LLC

  • Home Health Agency
  • Gallipolis, OH
  • NPI 1689113300
  Care Compare affiliation
• National Church Residences at Home, Inc

  • Home Health Agency
  • Chillicothe, OH
  • NPI 1922104041
  Care Compare affiliation
• Pike Health Services, Inc

  • Critical Access Hospital
  • Waverly, OH
  • NPI 1720018971
  Care Compare affiliation

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

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1184990368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 VETERANS DR",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456409586",
            "telephone_number": "740-395-8090",
            "fax_number": "740-395-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 VETERANS DR",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456409586",
            "telephone_number": "740-395-8090",
            "fax_number": "740-395-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS-ROLENSON",
        "first_name": "JOSE",
        "middle_name": "MIGUEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-01",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.012543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197993",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.fam.med.jackson@adena.medicity.net",
            "affiliation": "N",
            "address_1": "1000 Veterans Dr",
            "city": "Jackson",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456409586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather N Davis, QMHS
• Kloe Paige Davis
• Mariam Davis
• Paul G Davis, LPCC
• Sara Deaterla
• Amy M Delawder, OT
• Sandra Kay Dempsey
• Haley A Denney, QMHS3
• Janetta L Denney, CDCA
• Patricia Dennis

• Family Medicine Physician in Jackson, OH
• Providers in Jackson, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.