Individual provider Active NPI

David Peter Speach, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Mishawaka, IN
National Provider Identifier
1003850660
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
01085922A Issued in IN
Practice address
60160 Bodnar Blvd
Mishawaka, IN 46544-9338
Phone
(574) 247-9441
Fax
(574) 247-9442
NPI assigned
Jun 15, 2006
Last updated
May 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 01085922A IN Primary
Physical Medicine & Rehabilitation Physician 208100000X 179673 NY
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 179673 NY
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008X 01085922A IN
Electrodiagnostic Medicine Physician 204R00000X 01085922A IN

Addresses

Primary practice location

60160 Bodnar Blvd
Mishawaka, IN 46544-9338

Mailing address

3600 W Bethel Ave
Muncie, IN 47304-5407

Other practice location 1

2349 Lake Ave Ste 201
Plymouth, IN 46563-7837
Phone (574) 247-9441

Other practice location 2

53880 Carmichael Dr
South Bend, IN 46635-1567
Phone (574) 247-9441

Other practice location 3

303 S Nappanee St Ste F
Elkhart, IN 46514-2066
Phone (574) 247-9441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100518000087 NY Practitioner - Physical Medicine and Rehabilitation 5890823561 Reassigns benefits to 3 organizations
I20251105002288 IN Practitioner - Physical Medicine and Rehabilitation 5890823561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Indiana Orthopedics LLCGroup PAC ID 5698667822, 148 clinicians

Practice addresses (Care Compare)

53880 Carmichael Dr
South Bend, IN 46635-1567
Phone (317) 455-1064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
179673NYMDPhysical Medicine & Rehabilitation Physician
01085922AINMDNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Pain Care, P.C. CurrentSince Oct 30, 2025 Accepting new patients
University Orthopaedic Associates of Rochester CurrentSince Feb 4, 2002 Accepting new patients
Lafayette Pain Care PC CurrentSince Oct 30, 2025 Accepting new patients
University of Rochester CurrentSince Jul 1, 2019 Accepting new patients
University of Rochester Physical Medicine and Rehabilitation Physical Medicine & Rehabilitation CurrentSince Jul 1, 2019 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
University of Rochester Current Accepting new patients
Hematology Clinical Group Current Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
University Orthopaedic Associates of Rochester CurrentSince Feb 4, 2002 Accepting new patients
University of Rochester CurrentSince Jul 1, 2019 Accepting new patients

Locations

107 S Washington St
Ste C
Kokomo, IN 46901
Phone (317) 798-0040

770 Park East Blvd
Ste B
Lafayette, IN 47905
Phone (765) 366-4344

707 N River Dr
Marion, IN 46952
Phone (765) 573-5999

5901 Lac de Ville Blvd
#250
Rochester, NY 14618
Phone (585) 275-3271

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#664
Rochester, NY 14642
Phone (585) 275-3271

601 Elmwood Ave
#665
Rochester, NY 14642
Phone (585) 275-5168

Networks

  • IL PPO Downstate
  • KY PPO
  • IL HMO C-SNP
  • KY PPO C-SNP
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • OH PPO

Interoperability endpoints

  • Direct secure messaging: dspeach5290@direct.urmc.rochester.edu

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1003850660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60160 BODNAR BLVD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465449338",
            "telephone_number": "574-247-9441",
            "fax_number": "574-247-9442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2349 Lake Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "IN",
            "postal_code": "465637837",
            "country_code": "US",
            "telephone_number": "574-247-9441",
            "fax_number": "574-247-9442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "53880 Carmichael Dr",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466351567",
            "country_code": "US",
            "telephone_number": "574-247-9441",
            "fax_number": "574-247-9442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 S Nappanee St Ste F",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465142066",
            "country_code": "US",
            "telephone_number": "574-247-9441",
            "fax_number": "574-247-9442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEACH",
        "first_name": "DAVID",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01085922A",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "179673",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "179673",
            "primary": false
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "IN",
            "license": "01085922A",
            "primary": false
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "IN",
            "license": "01085922A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.