Active NPI
Jonathan Deboer, D.O.
- Anesthesiology Physician
- Lititz, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OT017618
- Practice address
- 1500 Highlands Dr
Lititz, PA 17543-7694 - Phone
- (717) 625-5000
- NPI assigned
- Apr 28, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | OT017618 | PA | Primary |
Addresses
Primary practice location
1500 Highlands Dr
Lititz, PA 17543-7694
Mailing address
1500 Highlands Dr
Lititz, PA 17543-7694
Phone (717) 625-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC, IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1305 N Elm St
Henderson, KY 42420-2783
Phone (270) 827-7200
4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 450-7338
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.17 of 100
- Quality
- 82.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT017618 | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Health, Inc. | Anesthesiology | Current | Accepting new patients |
| Deaconess Hospital, Inc | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of Virginia, PC | Anesthesiology | Current | Accepting new patients |
| Methodist Health, Inc. | Current | Accepting new patients | |
| Methodist Health, Inc. | Family Medicine | Current | Accepting new patients |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| American Anesthesiology of Virginia PC | Anesthesiology | Current | Accepting new patients |
| SMG Anesthesia Specialists LLC | Anesthesiology | Current | Accepting new patients |
| Deaconess Hospital, Inc | Family Medicine | Current | Accepting new patients |
| Ias Arizona PLLC | Anesthesiology | Current | Accepting new patients |
Locations
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240
1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100
500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000
Organizations & group practices 10
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.
-
dba Deaconess Care Group
- Hospitalist Physician
- Evansville, IN
- NPI 1427097443
Family Medicine
-
dba Deaconess Henderson Hospital Providers
- Hospitalist Physician
- Henderson, KY
- NPI 1679718100
Family Medicine
-
- Anesthesiology Physician
- Virginia Beach, VA
- NPI 1518205004
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
dba Deaconess Anesthesia Service - Gateway
- Anesthesiology Physician
- Newburgh, IN
- NPI 1619031416
-
- Anesthesiology Physician
- Tucson, AZ
- NPI 1689359747
-
dba Deaconess Henderson Anesthesiology
- Certified Registered Nurse Anesthetist
- Henderson, KY
- NPI 1225016801
Anesthesiology
-
dba Deaconess Henderson Pain Services
- Pain Clinic/Center
- Henderson, KY
- NPI 1780249060
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
dba Deaconess Henderson Hospital
- General Acute Care Hospital
- Henderson, KY
- NPI 1083759633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1518492446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 HIGHLANDS DR",
"city": "LITITZ",
"state": "PA",
"postal_code": "175437694",
"telephone_number": "717-625-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 HIGHLANDS DR",
"city": "LITITZ",
"state": "PA",
"postal_code": "175437694",
"telephone_number": "717-625-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBOER",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-28",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "OT017618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lititz, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.