Individual provider Active NPI

John P Katsaropoulos, MD

  • Interventional Cardiology Physician
  • South Bend, IN
National Provider Identifier
1063419968
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
01045186A Issued in IN
Practice address
3365 Deer Lake Dr
South Bend, IN 46614-2468
Phone
(574) 276-3324
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01041586A IN
Interventional Cardiology Physician 207RI0011X 01045186A IN Primary

Addresses

Primary practice location

3365 Deer Lake Dr
South Bend, IN 46614-2468

Mailing address

3365 Deer Lake Dr
South Bend, IN 46614-2468
Phone (574) 276-3324

Other practice location 1

1020 High Rd
Bremen, IN 46506-1093
Phone (574) 309-9967

Other practice location 2

610 N Michigan St Ste 400
South Bend, IN 46601-1081
Phone (574) 647-8120

Other practice location 3

615 N Michigan St Ste 502
South Bend, IN 46601-1033
Phone (574) 647-1000

Other identifiers 1

IdentifierTypeStateIssuer
100474520MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KATSAROPOULOS@mybeacon.cernerdirect.com

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803000589 IN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8729059803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Indiana University School of Medicine, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 781076
Detroit, MI 48278-1076

Hospital & facility affiliations

  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162
  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Franciscan Health Mooresville Hospital, Mooresville, IN, CCN 150057
  • Johnson Memorial Hospital Hospital, Franklin, IN, CCN 150001
  • Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting24
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01045186AINMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group, Inc. Cardiovascular Disease Current Accepting new patients
Beacon Medical Group, Inc. Cardiovascular Disease CurrentSince Dec 29, 2013 Accepting new patients
Franciscan Physician Network CurrentSince Jan 15, 2024 Accepting new patients
Franciscan Physician Network CurrentSince Jan 15, 2024 Accepting new patients
Beacon Medical Group Inc CurrentSince Dec 29, 2013 Accepting new patients
Major Hospital Past Accepting new patients
Ohio Valley Heartcare Inc Cardiovascular Disease Past Accepting new patients

Locations

1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967

10767 Illinois St
Carmel, IN 46032
Phone (317) 528-5201

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

5330 E Stop 11 Rd
Indianapolis, IN 46237
Phone (317) 893-1920

900 I St
Laporte, IN 46350
Phone (219) 324-1670

315 N Dan Jones Rd
Ste 130
Plainfield, IN 46168

1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

615 N Michigan St
Ste 502
South Bend, IN 46601
Phone (574) 647-1000

615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000

610 N Michigan St
Ste 400
South Bend, IN 46601
Phone (574) 204-7333

621 Memorial Dr
Ste 502
South Bend, IN 46601
Phone (574) 234-9001

710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610

Interoperability endpoints

  • Direct secure messaging: katsaropoulos@mybeacon.cernerdirect.com

Organizations & group practices 7

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 7

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1063419968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 DEER LAKE DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142468",
            "telephone_number": "574-276-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 DEER LAKE DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142468",
            "telephone_number": "574-276-3324"
        }
    ],
    "practiceLocations": [
        {
            "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": "610 N Michigan St Ste 400",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466011081",
            "country_code": "US",
            "telephone_number": "574-647-8120",
            "fax_number": "574-647-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 N Michigan St Ste 502",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466011033",
            "country_code": "US",
            "telephone_number": "574-647-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATSAROPOULOS",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01041586A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01045186A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100474520",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KATSAROPOULOS@mybeacon.cernerdirect.com",
            "affiliation": "N",
            "address_1": "610 N Michigan St Ste 400",
            "city": "South Bend",
            "state": "IN",
            "country_code": "US",
            "postal_code": "466011081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.