NPIMap

Individual provider Active NPI

Joseph P Dejonckheere, MD

  • Nephrology Physician
  • Aliquippa, PA
National Provider Identifier
1740276153
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD419171 Issued in PA
Practice address
99 Buss Rd
Lower
Aliquippa, PA 15001-4749
Phone
(724) 891-5044
Fax
(724) 891-5049
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD419171 PA Primary

Addresses

Primary practice location

99 Buss Rd
Lower
Aliquippa, PA 15001-4749

Mailing address

99 Buss Rd
Lower
Aliquippa, PA 15001-4749
Phone (724) 891-5044

Other identifiers 1

IdentifierTypeStateIssuer
1012875750001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH, WV3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040728001017 PA Practitioner - Internal MedicinePractitioner - NephrologyPractitioner - Hospitalist 6406826395 Reassigns benefits to 1 organization
I20200908003053 OH Practitioner - Nephrology 6406826395
I20200911000723 WV Practitioner - Nephrology 6406826395

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Kidney Group IncGroup PAC ID 0941291231, 21 clinicians

Practice addresses (Care Compare)

101 Nesbitt Rd
Suite 102
New Castle, PA 16105-3401
Phone (724) 657-5452

Hospital & facility affiliations

  • FKC Hermitage Dialysis facility, Hermitage, PA, CCN 392546
  • FKC New Castle Dialysis facility, New Castle, PA, CCN 392552
  • Upmc Jameson Hospital, New Castle, PA, CCN 390016
  • Upmc Horizon Hospital, Greenville, PA, CCN 390178
  • Sharon Regional Medical Center Hospital, Sharon, PA, CCN 390211
  • Indiana Regional Medical Center Hospital, Indiana, PA, CCN 390173
  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Kidney Group, Inc Nephrology CurrentSince Jul 1, 2024 Accepting new patients
Hershey Kidney Specialists Inc Nephrology PastSince Oct 1, 2004 Accepting new patients
Nephrology Consultants of Jacksonville LLC Nephrology Past Accepting new patients
Tenor Health Foundation Sharon, LLC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

2151 Shenango Valley Fwy
Ste B1
Hermitage, PA 16148

2151 Shenango Valley Fwy
Ste B
Hermitage, PA 16148
Phone (724) 308-7742

101 Nesbitt Rd
Ste 102
New Castle, PA 16105
Phone (724) 657-5452

Interoperability endpoints

  • Direct secure messaging: jdejonckheere65010@direct.acumenmd.com
  • Direct secure messaging: joseph.dejonckheere.1@33638.direct.athenahealth.com

Organizations & group practices 5

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1740276153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 BUSS RD",
            "address_2": "LOWER",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150014749",
            "telephone_number": "724-891-5044",
            "fax_number": "724-891-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BUSS RD",
            "address_2": "LOWER",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150014749",
            "telephone_number": "724-891-5044",
            "fax_number": "724-891-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJONCKHEERE",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD419171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012875750001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliquippa, PA

Sources for this page

Verify at the official NPI Registry.