NPIMap

Individual provider Active NPI

James L Deline, M.D.

  • Family Medicine Physician
  • Macon, MO
National Provider Identifier
1821091810
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 36425 Issued in MO
Practice address
307 McKay St
Macon, MO 63552-2029
Phone
(660) 385-3141
Fax
(660) 385-5866
NPI assigned
May 24, 2005
Last updated
Nov 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 36425 MO
Family Medicine Physician 207Q00000X MD 36425 MO Primary

Addresses

Primary practice location

307 McKay St
Macon, MO 63552-2029

Mailing address

307 McKay St
Macon, MO 63552-2029
Phone (660) 385-3141

Other identifiers 9

IdentifierTypeStateIssuer
11794OtherMOBLUE CROSS
010012805OtherRAILROAD MEDICARE
193025OtherTHE FUNDS
54535OtherUNITED HEALTHCARE
930078535OtherRAILROAD MEDICARE
252291OtherHEALTHLINK HMO AND PPO
431671124DELOtherMOMERCY HEALTH PLANS
202144804MedicaidMO
1930156MedicaidIA

Other names 1

  • Jim L Deline Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070522000133 MO Practitioner - Family PracticePractitioner - Emergency Medicine 9537266820 Reassigns benefits to 3 organizations
Receives reassigned benefits from 2 practitioners
Practice locations: Macon, MO

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macon County Samaritan HospitalGroup PAC ID 1456261395, 36 clinicians

Practice addresses (Care Compare)

1205 N Missouri St
Macon, MO 63552-2095

216 W Main St
Steele, MO 63877-1436
Phone (573) 695-2181

221 N Macon St
Bevier, MO 63532-1058
Phone (660) 346-9585

307 McKay St
Macon, MO 63552-2029
Phone (660) 385-3141

3071 S Grand Ave
Carthage, MO 64836-7851
Phone (417) 310-9286

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 36425MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McPherson Medical & Diagnostic, LLC Current Accepting new patients
McPherson Medical & Diagnostic, LLC Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Macon County Samaritan Hospital CurrentSince Oct 20, 2015 Accepting new patients
McPherson Medical & Diagnostic LLC CurrentSince Jul 1, 2024 Accepting new patients
McPherson Medical & Diagnostic, LLC Family Medicine Past Accepting new patients
Macon County Samaritan Hospital Emergency Medicine Past Accepting new patients

Locations

221 N Macon St
Bevier, MO 63532
Phone (660) 346-0449

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

307 McKay St
Macon, MO 63552
Phone (660) 385-3141

307 McKay St
Ste A
Macon, MO 63552

216 W Main St
Steele, MO 63877
Phone (573) 695-2181

216 W Main St
Ste B
Steele, MO 63877
Phone (573) 695-2181

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1821091810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MCKAY ST",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522029",
            "telephone_number": "660-385-3141",
            "fax_number": "660-385-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 MCKAY ST",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522029",
            "telephone_number": "660-385-3141",
            "fax_number": "660-385-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELINE",
        "first_name": "JAMES",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "36425",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "MD 36425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "11794",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010012805",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE FUNDS",
            "identifier": "193025",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "54535",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930078535",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK HMO AND PPO",
            "identifier": "252291",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PLANS",
            "identifier": "431671124DEL",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202144804",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1930156",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIM",
            "last_name": "DELINE",
            "middle_name": "L",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Macon, MO

Sources for this page

Verify at the official NPI Registry.