MARY T DEGENEFFE MD
NPI 1700841640
Pediatrics - Neonatal-Perinatal Medicine in South Bend, IN
NPI Status: Active since April 20, 2006
Contact Information
615 N MICHIGAN ST
SOUTH BEND, IN
ZIP 46601
Phone: (574) 647-7141
Fax: (574) 647-7248
- Individual
- Female
- Pediatrics
- Neonatal-Perinatal Medicine
- Accepts Insurance
- PECOS Enrolled
About MARY DEGENEFFE
This page provides the complete NPI Profile along with additional information for Mary Degeneffe, a pediatrician established in South Bend, Indiana with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1700841640 assigned on April 2006. The practitioner's primary taxonomy code is 2080N0001X with license number 01042506 (IN). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1700841640
- Provider Name
- MARY T DEGENEFFE MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 615 N MICHIGAN ST SOUTH BEND, IN 46601
- Location Phone
- (574) 647-7141
- Location Fax
- (574) 647-7248
- Mailing Address
- 615 N MICHIGAN ST SOUTH BEND, IN 46601
- Mailing Phone
- (574) 647-7141
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-20-2006
- Last Update Date
- 07-29-2008
- Code Navigator
A pediatrician like Mary Degeneffe is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Neonatal-Perinatal Medicine
- Taxonomy Code
- 2080N0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 01042506
- License State
- IN
- Taxonomy Description
- A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 01042506 (IN) |
| 2 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 4301084504 (MI) |
| 3 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 036086895 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Mary Degeneffe is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for MARY T DEGENEFFE MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 8 | 4 | 1 | 6 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 16 | 4 | 2 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 1 + 6 + 4 + 2 + 6 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1700841640 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1154319424 | MS. DEBRA ANNE GARTEE RNC, WHNP Individual | Nurse Practitioner (Women's Health) | 615 N MICHIGAN ST SOUTH BEND, IN 46601 (574) 647-3171 |
| 1174507503 | DR. ARTHUR MARTIN SCHROEDER M.D. Individual | Internal Medicine | 615 N MICHIGAN ST 7TH FLOOR SOUTH BEND, IN 46601 (574) 647-6225 |
| 1659358240 | LARRY G THOMPSON M.D. Individual | Anesthesiology | 615 N MICHIGAN ST MEMORIAL HOSPITAL SOUTH BEND, IN 46601 (574) 232-8119 |
| 1952378333 | DIANNE GAMMAGE RN Individual | Registered Nurse (Case Management) | 615 N MICHIGAN ST MEMORIAL HOSPITAL- COMMUNITY HEALTH ENHANCEMENT SOUTH BEND, IN 46601 (574) 647-2173 |
| 1023085412 | MELISSA MARIE GLASER RN Individual | Registered Nurse (Case Management) | 615 N MICHIGAN ST MEMORIAL HOSPITAL- COMMUNITY HEALTH ENHANCEMENT SOUTH BEND, IN 46601 (574) 647-2173 |
| 1073580460 | RUTH REESE RN Individual | Registered Nurse (Case Management) | 615 N MICHIGAN ST MEMORIAL HOSPITAL- COMMUNITY HEALTH ENHANCEMENT SOUTH BEND, IN 46601 (574) 647-2173 |
| 1144283151 | DR. ROBERT DENNIS WHITE MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 615 N MICHIGAN ST SOUTH BEND, IN 46601 (574) 647-7351 |
| 1518998327 | MARK TIMOTHY MONAHAN M.D. Individual | Emergency Medicine | 615 N MICHIGAN ST SOUTH BEND, IN 46601 (574) 647-7459 |
| 1326067976 | JOSEPH C LEE M.D. Individual | Emergency Medicine | 615 N MICHIGAN ST SOUTH BEND, IN 46601 (574) 647-7459 |
| 1184722076 | GARY B FROMM MD Individual | Internal Medicine (Critical Care Medicine) | 615 N MICHIGAN ST MEDICAL EDUCATION DEPT MEMORIAL HOSPITAL SOUTH BEND, IN 46601 (574) 243-4768 |
| 1316046485 | JOHN ROBERT WOODS M.D. Individual | Emergency Medicine | 615 N MICHIGAN ST SOUTH BEND, IN 46601 (574) 647-7459 |
| 1275614570 | DR. MICHAEL LEWIS BLAKESLEY MD Individual | Emergency Medicine | 615 N MICHIGAN ST SOUTH BEND, IN 46601 (574) 647-7459 |
| 1295818227 | DR. JOHN PHILIP MARCHIN M.D. Individual | Physical Medicine & Rehabilitation | 615 N MICHIGAN ST SOUTH BEND, IN 46601 (574) 236-8044 |
| 1548347826 | RICHARD HARRY SEALL MD Individual | Emergency Medicine | 615 N MICHIGAN ST SOUTH BEND, IN 46601 (574) 647-7459 |
| 1699852996 | KEITH HAYDEN SHERRY MD Individual | Emergency Medicine | 615 N MICHIGAN ST SOUTH BEND, IN 46601 (574) 647-7459 |
| 1417034968 | WILLIAM RUSSELL FARRELL MD Individual | Emergency Medicine | 615 N MICHIGAN ST SOUTH BEND, IN 46601 (574) 647-7459 |
| 1902983323 | ROBERT BRUCE KING MD Individual | Emergency Medicine | 615 N MICHIGAN ST SOUTH BEND, IN 46601 (574) 647-7459 |
| 1275610529 | RAJALAKSHMY SUNDARARAJAN MD Individual | Internal Medicine | 615 N MICHIGAN ST SOUTH BEND, IN 46601 (574) 647-7459 |
| 1528145091 | DAVID ALAN HALPERIN MD Individual | Emergency Medicine | 615 N MICHIGAN ST SOUTH BEND, IN 46601 (574) 647-7459 |
| 1174600555 | PHILIP RICHARD KAVANAGH DO Individual | Emergency Medicine | 615 N MICHIGAN ST SOUTH BEND, IN 46601 (574) 647-7459 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700841640, enumerated in the NPI registry as an "individual" on April 20, 2006
The provider is located at 615 N Michigan St South Bend, In 46601 and the phone number is (574) 647-7141
The provider's speciality is Pediatrics with taxonomy code 2080N0001X with a focus in Neonatal-Perinatal Medicine
The provider might be accepting Accepts: Priority Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.