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

Mary T Degeneffe, MD

Individual provider Pediatrics Physician · NPI 1700841640

Mary T Degeneffe, MD is a Pediatrics Physician in South Bend, Indiana. Licensed in Illinois, Indiana and Michigan. Registered with an NPI since 2006.

Licensed in
IL, IN, MI
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

615 N Michigan St
South Bend, IN 46601-1033
Phone: (574) 647-7141
Fax: (574) 647-7248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 01042506 (IN)
Pediatrics Physician Taxonomy 208000000X · Licence 01042506 (IN)
Pediatrics Physician Taxonomy 208000000X · Licence 4301084504 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 036086895 (IL)

Record details

NPI number1700841640
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2006
Last updated in NPPESJuly 29, 2008

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