Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kurtis Dejong, MD

Emergency Medicine Physician in Mishawaka, IN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184680159

Verified

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Registry record

Entity type Individual (Type 1)

Name Kurtis Dejong

Credential MD

Sex Male

Practice address 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN, 46545

Phone (574) 335-5000

Enumeration date Apr 26, 2006

Last updated in NPPES Dec 16, 2011

Taxonomy & licenses

207PE0004X Emergency Medical Services (Emergency Medicine) Physician Allopathic & Osteopathic Physicians · License 01039621 (IN) Secondary

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 01039621 (IN) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
930102831	Other	IN	RAIL ROAD MEDICARE
104943838	Medicaid	MI	-
000000190295	Other	IN	ANTHEM
200022520	Medicaid	IN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Kurtis Dejong practice?

The practice location on file with NPPES is in Mishawaka, IN. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Kurtis Dejong?

The National Provider Identifier (NPI) for Kurtis Dejong is 1184680159, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-12-16.