Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kurtis Dejong, MD

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1184680159

Kurtis Dejong, MD is an Emergency Medicine in Mishawaka, Indiana. Graduated from University of Iowa, Rj & L Carver College of Medicine in 1990, 36 years ago. Practices with Cep America LLC, a 985-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
36
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5215 Holy Cross Pkwy Emergency Dept
Mishawaka, IN 46545-1469
Phone: (574) 335-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 01039621 (IN)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence 01039621 (IN)

Record details

NPI number1184680159
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESDecember 16, 2011
Mailing address5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545-1469

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Cep America Llc — 985 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mishawaka