Individual provider Active NPI

Jeffrey Hassel Eifler, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • South Bend, IN
National Provider Identifier
1003178690
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07001198A Issued in IN
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

Updated by the provider on Feb 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300012807MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 575 clinicians

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 Hospital, South Bend, IN, CCN 150058
  • Elkhart General Hospital Hospital, Elkhart, IN, CCN 150018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue51
Removal of skin lesions1-10
Removal of nail tissue11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07001198AINMDFoot & Ankle Surgery Podiatrist

Practice roles (8 of 15)

OrganizationSpecialtyStatusNew patients
Beacon Medical Group Inc CurrentSince May 31, 2023 Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
Privia Medical Group Indiana, LLC CurrentSince Jan 2, 2019 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. CurrentSince May 31, 2023 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGEFBD
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.