Active NPI
Michael B Delong, MD
- Surgery Physician
- Auburn, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01089781A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1445027 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080813000910 | MI | Practitioner - General 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 IncCommunity Health Center of Branch County
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
- Parkview Noble Hospital
- Insight Hospital and Medical Center Coldwater
- Parkview Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD041083 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Branch County | Current | Accepting new patients | |
| Parkview Health System Inc | Surgery | Current | Accepting new patients |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Community Health Center of Branch County | Surgery | Current | 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
- mdelong152516@direct.promedica.org
- 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.
-
- Hematology & Oncology Physician
- Coldwater, MI
- NPI 1215964192
-
- Internal Medicine Physician
- Coldwater, MI
- NPI 1306873286
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1447585153
-
- Rural Health Clinic/Center
- Coldwater, MI
- NPI 1053348938
-
- General Acute Care Hospital
- Coldwater, MI
- NPI 1063471639
-
- Rural Health Clinic/Center
- Coldwater, MI
- NPI 1073661484
-
- Rural Health Clinic/Center
- Union City, MI
- NPI 1093751331
-
- Pediatric Adolescent Medicine Physician
- Coldwater, MI
- NPI 1619304458
-
- Specialist
- Coldwater, MI
- NPI 1245213537
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kendallville, IN
- NPI 1457366189
Hospital
-
- General Acute Care Hospital
- Coldwater, MI
- NPI 1063471639
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.