NPIMap

Saint Joseph Regional Medical Center-South Bend Campus Inc

A Medicare group practice based in Mishawaka, IN: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 3476451790), with 206 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3476451790The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
IN
Enrollments
3
Group size
65 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
27In 3 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20240109003472 IN MDPP Supplier - in-Person MDPP Supplier 1447038419
O20031223000724 IN Part B Supplier - Clinic/Group Practice 1023844693
O20040511000250 IN Part A Provider - Hospital 1841245594

NPIs in this group 8

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 206

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (206) or whom Care Compare lists as members (65).

Sources for this page