Jeffrey Dedelow, M.D.
NPI 1376758524 · Diagnostic Radiology Physician · Bloomington, IN
Jeffrey Dedelow, M.D. is a Diagnostic Radiology Physician provider in Bloomington, IN (NPI 1376758524).
Provider details
- NPI number
- 1376758524
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01069197A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 429 S Landmark AveBloomington, IN 47403-5003Phone: (812) 332-8242Fax: (812) 332-7684
Registry dates
- Enumerated
- 2007-05-11
- Last updated
- 2021-12-09
- Certified
- 2021-12-09
Frequently asked questions
- What is Jeffrey Dedelow's NPI number?
- Jeffrey Dedelow's National Provider Identifier (NPI) is 1376758524, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Dedelow's specialty?
- Jeffrey Dedelow is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Jeffrey Dedelow located?
- Jeffrey Dedelow's practice location on file with NPPES is 514 W 2nd St, Bloomington, IN 47403-2316.
- What is Jeffrey Dedelow's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Dedelow is (812) 353-3719.
- Is Jeffrey Dedelow's NPI active?
- Yes — Jeffrey Dedelow's NPI (1376758524) is active in the NPPES registry as of the last update on 2021-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.