JORGE FERNANDEZ DECORDOVA (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1861487670
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
311 PATHOLOGY in IN
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Provider Addresses for JORGE FERNANDEZ DECORDOVA (M.D.)
PO BOX 10805
MERRILLVILLE, IN 464100805
Phone: (800) 288-8325
Fax: (419) 866-5453
Type: Mailing
Community Hospital, 901, MacArthur Boulevard, Munster, North Township, Lake County, Indiana, 46321, United States
MUNSTER, IN 463212901
Phone: (219) 836-4622
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-08-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100827000290 | I | Pathology | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 98 | 47 | $0 |
Insurance plans in this area (ZIP 46410)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| P A T H O L O G Y | IN | |
| P A T H O L O G Y | IL | |
| P A T H O L O G Y | IL | |
| P A T H O L O G Y | IL | |
| P A T H O L O G Y | IL | |
| P A T H O L O G Y | IN | |
| - | IN | |
| P A T H O L O G Y | IN | |
| P A T H O L O G Y | OH |
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