Active NPI
Jeffrey Hassel Eifler, D.P.M.
- Foot & Ankle Surgery Podiatrist
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07001198A
- Practice address
- 2235 Cleveland Rd
South Bend, IN 46628-3529 - Phone
- (574) 647-4530
- Fax
- (574) 647-2285
- NPI assigned
- Jun 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 07001198A | IN | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07001198A | IN | Primary |
Addresses
Primary practice location
2235 Cleveland Rd
South Bend, IN 46628-3529
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-2129
Other practice location 1
3301 County Road 6 E
Elkhart, IN 46514-7673
Phone (574) 264-9635
Other practice location 2
1020 High Rd
Bremen, IN 46506-1093
Phone (574) 309-9967
Other practice location 3
1815 E Ireland Rd
South Bend, IN 46614-2845
Phone (574) 647-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300012807 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150506002236 | IN | Practitioner - Podiatry | 1759609639 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beacon Medical Group Inc
Practice addresses (Care Compare)
1815 E Ireland Rd
South Bend, IN 46614-2845
2235 Cleveland Rd
South Bend, IN 46628-3529
Phone (574) 647-4530
3301 County Rd 6
Elkhart, IN 46514-7673
600 E Blvd
Elkhart, IN 46514-2483
600 E Blvd 4TH FL Hospitalists
BMG Hospital Specialties
Elkhart, IN 46514-2483
Phone (574) 647-3050
615 N Michigan St
South Bend, IN 46601-1033
615 N Michigan St FL
South Bend, IN 46601-1033
6913 N Main St
Granger, IN 46530-8039
Hospital & facility affiliations
- Memorial Hospital of South Bend
- Elkhart General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 51 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07001198A | IN | MD | Foot & Ankle Surgery Podiatrist |
Practice roles (8 of 15)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Medical Group Inc | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Privia Medical Group Indiana, LLC | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Foot & Ankle Surgery | Current | Accepting new patients |
| Privia Medical Group Indiana, LLC | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Past | Accepting new patients |
Locations
1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967
1723 E Bristol St
Ofc 6TH
Elkhart, IN 46514
303 S Nappanee St
Elkhart, IN 46514
1723 E Bristol St
Elkhart, IN 46514
Phone (574) 264-7180
3301 County Road 6 E
Elkhart, IN 46514
Phone (574) 264-9635
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129
6913 N Main St
Granger, IN 46530
Phone (574) 647-1500
900 I St
Laporte, IN 46350
Phone (219) 324-1670
1815 E Ireland Rd
South Bend, IN 46614
Phone (574) 647-1700
2235 Cleveland Rd
South Bend, IN 46628
Phone (574) 647-4530
Networks
- OH PPO
- IL HMO C-SNP
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- IL PPO Downstate
- KY PPO
- KY PPO C-SNP
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BGEFBD
- jeifler1163276@direct.trinity-health.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
- Family Medicine Physician
- South Bend, IN
- NPI 1124079330
-
- Family Medicine Physician
- South Bend, IN
- NPI 1588024624
Foot & Ankle Surgery
-
- Critical Care Medicine (Internal Medicine) Physician
- Elkhart, IN
- NPI 1821222829
-
- Family Nurse Practitioner
- Wakarusa, IN
- NPI 1568147809
-
- Orthopaedic Surgery Physician
- South Bend, IN
- NPI 1831149525
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1003178690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 HEALTH DR STE 100",
"city": "GRANGER",
"state": "IN",
"postal_code": "465301380",
"telephone_number": "574-647-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2235 CLEVELAND RD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466283529",
"telephone_number": "574-647-4530",
"fax_number": "574-647-2285"
}
],
"practiceLocations": [
{
"address_1": "3301 County Road 6 E",
"address_purpose": "LOCATION",
"city": "Elkhart",
"state": "IN",
"postal_code": "465147673",
"country_code": "US",
"telephone_number": "574-264-9635",
"fax_number": "574-262-0398",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1020 High Rd",
"address_purpose": "LOCATION",
"city": "Bremen",
"state": "IN",
"postal_code": "465061093",
"country_code": "US",
"telephone_number": "574-309-9967",
"fax_number": "574-309-9968",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1815 E Ireland Rd",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466142845",
"country_code": "US",
"telephone_number": "574-647-1700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EIFLER",
"first_name": "JEFFREY",
"middle_name": "HASSEL",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-11",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "IN",
"license": "07001198A",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "07001198A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300012807",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.