Individual provider Active NPI

Beder Pharaon, M.D.

  • Hospitalist Physician
  • Darien, IL
National Provider Identifier
1073875571
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
01075620A Issued in IN
Practice address
8747 Carlisle CT
Darien, IL 60561-5373
Phone
(313) 221-0623
NPI assigned
Jun 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01075620A IN
Hospitalist Physician 208M00000X 01075620A IN Primary

Addresses

Primary practice location

8747 Carlisle CT
Darien, IL 60561-5373

Mailing address

8747 Carlisle CT
Darien, IL 60561-5373
Phone (313) 221-0623

Other identifiers 2

IdentifierTypeStateIssuer
471400313OtherINMEDICARE PTAN
201310750MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bpharaon204866@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 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
I20150811003508 IN Practitioner - HospitalistPractitioner - Internal Medicine 3173838828 Reassigns benefits to 4 organizations
I20251022003568 MI Practitioner - Internal Medicine 3173838828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Informe Healthcare LLCGroup PAC ID 8123375474, 12 clinicians
Informe Healthcare in LLCGroup PAC ID 9537407770, 14 clinicians
Hospitalist Physicians of Indiana PCGroup PAC ID 1052795986, 148 clinicians
Wexford Physician Services PCGroup PAC ID 3072024330, 39 clinicians
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians
Otsego Physician Services PCGroup PAC ID 7416468954, 35 clinicians

Practice addresses (Care Compare)

1121 E Lasalle Ave
South Bend, IN 46617-3321
Phone (574) 287-6501

1850 State St
New Albany, IN 47150-4990
Phone (812) 944-7701

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7200

8207 Northwoods Dr
Suite 100
Lincoln, NE 68505-2093
Phone (402) 484-3440

825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2100

Hospital & facility affiliations

  • Northwest Health-la Porte Hospital, La Porte, IN, CCN 150006
  • Northwest Health - Porter Hospital, Valparaiso, IN, CCN 150035
  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
  • St Joseph Health System, LLC Hospital, Fort Wayne, IN, CCN 150047
  • Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081
  • Select Medical Rehabilitation Hospital at Lutheran Inpatient rehabilitation facility, Fort Wayne, IN, CCN 153030

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Informe Healthcare in, LLC Internal Medicine CurrentSince Jun 16, 2025 Accepting new patients
New Albany Hospitalist Group, LLC Hospitalist CurrentSince Oct 1, 2023 Accepting new patients
Informe Healthcare LLC Internal Medicine CurrentSince Jun 14, 2025 Accepting new patients
Hospitalist Physicians of Indiana, PC Internal Medicine CurrentSince Sep 14, 2022 Accepting new patients
Otsego Physician Services PC Internal Medicine CurrentSince Sep 20, 2025 Accepting new patients
Wexford Physician Services PC Internal Medicine CurrentSince Dec 21, 2025 Accepting new patients

Locations

7970 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2607

353 Tyler St
Gary, IN 46402
Phone (219) 886-7070

745 N Swope St
Greenfield, IN 46140
Phone (317) 462-9221

8800 Virginia Pl
Merrillville, IN 46410
Phone (219) 736-1310

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

1121 E Lasalle Ave
South Bend, IN 46617
Phone (574) 287-6501

17475 Dugdale Dr
South Bend, IN 46635
Phone (574) 247-7500

475 N Niles Ave
South Bend, IN 46617
Phone (574) 246-4123

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

2741 W Layton Ave
Ste 106
Milwaukee, WI 53221

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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1073875571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8747 CARLISLE CT",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615373",
            "telephone_number": "313-221-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8747 CARLISLE CT",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615373",
            "telephone_number": "313-221-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHARAON",
        "first_name": "BEDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01075620A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01075620A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "471400313",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201310750",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bpharaon204866@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "24 Joliet St",
            "city": "Dyer",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463111705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Darien, IL

Sources for this page

Verify at the official NPI Registry.