Individual provider Active NPI

Stephen M. Smith, M.D.

  • Neurological Surgery Physician
  • South Bend, IN
National Provider Identifier
1124050851
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
01060132A Issued in IN
Practice address
100 Navarre PL
Suite 6600
South Bend, IN 46601-1173
Phone
(574) 647-8800
Fax
(574) 647-8896
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 01060132A IN Primary

Addresses

Primary practice location

100 Navarre PL
Suite 6600
South Bend, IN 46601-1173

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-2129

Other practice location 1

611 E Douglas Rd
Ste 207
Mishawaka, IN 46545-1465
Phone (574) 232-7227

Other practice location 2

500 Arcade Ave Ste 200
Elkhart, IN 46514-2485
Phone (574) 294-8404

Other practice location 3

576 N Oak Dr
Plymouth, IN 46563-1664
Phone (574) 647-5170

Other practice location 4

2222 Rieth Blvd Ste 104
Goshen, IN 46526-5869
Phone (574) 875-1082

Other identifiers 1

IdentifierTypeStateIssuer
200511880MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SMITH@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
I20050502000259 IN Practitioner - Neurosurgery 2567436165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Indiana University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians

Practice addresses (Care Compare)

100 Navarre PL
6600 BMG N Central Neurosurgery SB
South Bend, IN 46601-1173
Phone (574) 647-8800

Hospital & facility affiliations

  • Memorial Hospital of South Bend Hospital, South Bend, IN, CCN 150058
  • Elkhart General Hospital Hospital, Elkhart, IN, CCN 150018
  • Saint Joseph Regional Medical Center Hospital, Mishawaka, IN, CCN 150012
  • Lakeland Hospital, St Joseph Hospital, St Joseph, MI, CCN 230021
  • Franciscan Health Michigan City Hospital, Michigan City, IN, CCN 150015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion87
Laminectomy or laminotomy (partial removal of spine bones)32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01060132AINMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group Inc CurrentSince Jan 11, 2011 Accepting new patients
Beacon Medical Group, Inc. CurrentSince Jan 11, 2011 Accepting new patients
Franciscan Physician Network CurrentSince Aug 1, 2024 Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
Franciscan Physician Network CurrentSince Aug 1, 2024 Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients
Beacon Medical Group, Inc. Neurological Surgery Past Accepting new patients

Locations

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

500 Arcade Ave
Ste 200
Elkhart, IN 46514
Phone (574) 293-3317

2222 Rieth Blvd
Ste 104
Goshen, IN 46526
Phone (574) 875-1082

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

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

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

3500 Franciscan Way
Ste 300
Michigan City, IN 46360
Phone (219) 214-4633

611 E Douglas Rd
Ste 207
Mishawaka, IN 46545
Phone (574) 335-6450

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

100 Navarre Pl
Ste 6600
South Bend, IN 46601
Phone (574) 232-7227

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

Interoperability endpoints

  • Direct secure messaging: smith@mybeacon.cernerdirect.com
  • Direct secure messaging: ssmith1158737@direct.trinity-health.org

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 9

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1124050851",
    "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",
            "fax_number": "574-237-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NAVARRE PL",
            "address_2": "SUITE 6600",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011173",
            "telephone_number": "574-647-8800",
            "fax_number": "574-647-8896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 E Douglas Rd",
            "address_2": "Ste 207",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465451465",
            "country_code": "US",
            "telephone_number": "574-232-7227",
            "fax_number": "574-232-2064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Arcade Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465142485",
            "country_code": "US",
            "telephone_number": "574-294-8404",
            "fax_number": "574-523-1642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "576 N Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "IN",
            "postal_code": "465631664",
            "country_code": "US",
            "telephone_number": "574-647-5170",
            "fax_number": "574-647-5183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 Rieth Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465265869",
            "country_code": "US",
            "telephone_number": "574-875-1082",
            "fax_number": "574-875-3860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHEN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IN",
            "license": "01060132A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200511880",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SMITH@mybeacon.cernerdirect.com",
            "affiliation": "N",
            "address_1": "100 Navarre Pl",
            "address_2": "Suite 6600",
            "city": "South Bend",
            "state": "IN",
            "country_code": "US",
            "postal_code": "466011156",
            "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.