Provider Type Icon

PEDIATRIX MEDICAL GROUP OF INDIANA PC NPI 1437256146


NPI Information

NPI: 1437256146
Provider Name: PEDIATRIX MEDICAL GROUP OF INDIANA, PC
Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

Address:
615 N MICHIGAN ST
SOUTH BEND, IN
ZIP 46601
Phone: (574) 234-2287
Get Directions

PEDIATRIX MEDICAL GROUP OF INDIANA, PC is a neonatal-perinatal medicine pediatrics in South Bend, IN. The provider is 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. PEDIATRIX MEDICAL GROUP OF INDIANA, PC NPI is 1437256146. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

615 N MICHIGAN ST
SOUTH BEND, IN
ZIP 46601-033
Phone: (574) 234-2287
Fax: (574) 234-5803

The provider's authorized official is Debra Kaspar .
The authorized official title is Assistant Secretary and has the following contact phone number (954) 384-0175.

The enumeration date for this NPI number is 9/17/2006 and was last updated on 10/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080N0001XPediatricsNeonatal-Perinatal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100135170DMEDICAIDINDIANA
2200135170BMEDICAIDINDIANA
3200135170GMEDICAIDINDIANA
4200135170FMEDICAIDINDIANA
500135170AMEDICAIDINDIANA
600135170GMEDICAIDINDIANA
700135170FMEDICAIDINDIANA
8200135170AMEDICAIDINDIANA
9200135170DMEDICAIDINDIANA
1000135170BMEDICAIDINDIANA
1100135170CMEDICAIDINDIANA
12200135170CMEDICAIDINDIANA
13200135170IMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.