Individual provider Active NPI

Michael B Delong, MD

  • Surgery Physician
  • Auburn, IN
National Provider Identifier
1699799189
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01089781A Issued in IN
Practice address
1310 E 7TH St Ste F
Auburn, IN 46706-2518
Phone
(260) 920-2710
Fax
(260) 920-2043
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD041083 MI
Surgery Physician 208600000X 01089781A IN Primary

Addresses

Primary practice location

1310 E 7TH St Ste F
Auburn, IN 46706-2518

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Other identifiers 1

IdentifierTypeStateIssuer
1445027MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, 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
I20080813000910 MI Practitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 5799850541 Reassigns benefits to 1 organization
Practice locations: Coldwater, MI
I20230411001835 IN Practitioner - General Surgery 5799850541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Health System Inc 1,350 clinicians
Community Health Center of Branch County 56 clinicians

Practice addresses (Care Compare)

1314 E 7TH St
103 PPG Family Medicine
Auburn, IN 46706-2533
Phone (260) 927-1982

207 N Townline Rd
Lagrange, IN 46761-1325

274 E Chicago St
Coldwater, MI 49036-2041
Phone (517) 279-5400

401 N Sawyer Rd
Kendallville, IN 46755-2568
Phone (260) 266-5700

512 N Professional Way
Kendallville, IN 46755-2927
Phone (260) 347-8556

817 Trail Ridge Rd
Albion, IN 46701-1534
Phone (260) 373-9590

Hospital & facility affiliations

  • Parkview Dekalb Hospital Hospital, Auburn, IN, CCN 150045
  • Parkview Noble Hospital Hospital, Kendallville, IN, CCN 150146
  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022
  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD041083MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Branch County Current Accepting new patients
Parkview Health System Inc Surgery CurrentSince May 6, 2023 Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Community Health Center of Branch County CurrentSince Feb 1, 2018 Accepting new patients
Community Health Center of Branch County Surgery CurrentSince Feb 1, 2018 Accepting new patients
Regio T Penna MD, PC Current Accepting new patients
Community Health Center of Branch County Current Accepting new patients

Locations

817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590

1310 E 7th St
Ste F
Auburn, IN 46706
Phone (260) 925-0403

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

412 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-2231

360 E Chicago St
Ste 104
Coldwater, MI 49036
Phone (517) 278-6240

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

Interoperability endpoints

  • Direct secure messaging: mdelong152516@direct.promedica.org
  • Direct secure messaging: mdelong103443@direct.parkviewexchange.com

Organizations & group practices 12

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 4

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1699799189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E 7TH ST STE F",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467062518",
            "telephone_number": "260-920-2710",
            "fax_number": "260-920-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELONG",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "MD041083",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01089781A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1445027",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, IN

Sources for this page

Verify at the official NPI Registry.