Active NPI
Daniel P. Srikureja, MD
- Surgery Physician
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01087751A
- Practice address
- 621 Memorial Dr Ste 502
South Bend, IN 46601-1075 - Phone
- (574) 647-5875
- Fax
- (574) 647-5878
- NPI assigned
- Apr 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01087751A | IN | Primary |
| Surgery Physician | 208600000X | A118137 | CA |
Addresses
Primary practice location
621 Memorial Dr Ste 502
South Bend, IN 46601-1075
Mailing address
11175 Campus St
Ste 21111
Loma Linda, CA 92350-1700
Phone (909) 558-4286
Other practice location 1
1020 High Rd
Bremen, IN 46506-1093
Phone (574) 309-9967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300064988 | Medicaid | IN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Loma Linda University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
621 Memorial Dr
Suite 502
South Bend, IN 46601-1075
Phone (574) 647-5875
Hospital & facility affiliations
- Memorial Hospital of South Bend
- Elkhart General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A118137 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Surgery | Current | Accepting new patients |
| Beacon Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Beacon Medical Group Inc | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Past | Accepting new patients |
Locations
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129
6913 N Main St
Granger, IN 46530
Phone (574) 647-1500
621 Memorial Dr
Ste 502
South Bend, IN 46601
Phone (574) 234-9001
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
- Trauma Surgery Physician
- South Bend, IN
- NPI 1174927131
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Orthopaedic Surgery Physician
- South Bend, IN
- NPI 1831149525
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elkhart, IN
- NPI 1477551489
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1235455270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11175 CAMPUS ST",
"address_2": "STE 21111",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923501700",
"telephone_number": "909-558-4286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 MEMORIAL DR STE 502",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011075",
"telephone_number": "574-647-5875",
"fax_number": "574-647-5878"
}
],
"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"
}
],
"basic": {
"last_name": "SRIKUREJA",
"first_name": "DANIEL",
"middle_name": "P.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-15",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01087751A",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A118137",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300064988",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.