Individual provider Active NPI

Fabian Jorge Arnaldo, MD

  • Clinical Cardiac Electrophysiology Physician
  • Saint Joseph, MI
National Provider Identifier
1245382852
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
EMC0004314 Issued in MI
Practice address
3950 Hollywood Rd Ste 100
Saint Joseph, MI 49085-9151
Phone
(269) 985-1000
NPI assigned
Jan 17, 2007
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01067582A IN
Cardiovascular Disease Physician 207RC0000X 01067582A IN
Clinical Cardiac Electrophysiology Physician 207RC0001X 01067582A IN
Clinical Cardiac Electrophysiology Physician 207RC0001X EMC0004314 MI Primary

Addresses

Primary practice location

3950 Hollywood Rd Ste 100
Saint Joseph, MI 49085-9151

Mailing address

3950 Hollywood Rd Ste 100
Saint Joseph, MI 49085-9151

Other practice location 1

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

Other practice location 2

500 Arcade Ave
Ste 400
Elkhart, IN 46514-2487
Phone (574) 522-2284

Other practice location 3

900 I St
La Porte, IN 46350-5533
Phone (219) 324-1700

Other identifiers 1

IdentifierTypeStateIssuer
200969320MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address farnaldo@mybeacon.cernerdirect.com

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
I20100303000857 IN Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0648315572 Reassigns benefits to 4 organizations
I20240205001011 MI Practitioner - Cardiac Electrophysiology 0648315572 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Medical PracticesGroup PAC ID 1658427042, 286 clinicians

Practice addresses (Care Compare)

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 983-8300

3950 Hollywood Rd
Saint Joseph, MI 49085-9151
Phone (269) 985-1000

4209 Gateway Blvd
Newburgh, IN 47630-8900
Phone (812) 842-0907

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01067582AINMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Community Hospital Watervliet Current Accepting new patients
Pathology Assoc of Southwestern Michigan, PC Current Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Dec 19, 2023 Accepting new patients
Lakeland Community Hospital Watervliet CurrentSince Apr 15, 2025 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Dec 19, 2023 Accepting new patients
Memorial Hospital of South Bend CurrentSince Dec 31, 2020 Accepting new patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease Current Accepting new patients
Deaconess Hospital, Inc Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Deaconess Specialty Physicians, Inc CurrentSince Aug 1, 2025 Accepting new patients
Grand Heart, LLC Cardiovascular Disease CurrentSince Dec 7, 2024 Accepting new patients
Deaconess Hospital Inc CurrentSince Aug 1, 2025 Accepting new patients
Lakeland Medical Practices Internal Medicine CurrentSince Dec 19, 2023 Accepting new patients
Lakeland Medical Practices Internal Medicine CurrentSince Dec 19, 2023 Accepting new patients
Lakeland Community Hospital Watervliet Internal Medicine CurrentSince Apr 15, 2025 Accepting new patients
Memorial Hospital of South Bend CurrentSince Dec 31, 2020 Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

11700 N Meridian St
Ste 24
Carmel, IN 46032

12315 Hancock St
Ste 24
Carmel, IN 46032
Phone (317) 708-3732

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (269) 552-2823

440 Scott Rolen Dr
Jasper, IN 47546
Phone (812) 481-1655

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

4209 Gateway Blvd
Newburgh, IN 47630
Phone (812) 426-9855

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

17300 Westfield Blvd
Ste 110
Westfield, IN 46074
Phone (317) 428-5040

7040 Red Arrow Hwy
Coloma, MI 49038
Phone (269) 468-4318

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 100
Saint Joseph, MI 49085
Phone (269) 429-0900

3950 Hollywood Rd
Ste 110
Saint Joseph, MI 49085
Phone (269) 985-1000

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111

Interoperability endpoints

  • Direct secure messaging: farnaldo@mybeacon.cernerdirect.com
  • Direct secure messaging: farnaldo1911269@epic00.corewelldirect.org
  • Direct secure messaging: farnaldo316979@direct.deaconess.com
  • FHIR API: https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1245382852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 HOLLYWOOD RD STE 100",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 HOLLYWOOD RD STE 100",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859151",
            "telephone_number": "269-985-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 N Michigan St",
            "address_2": "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": "500 Arcade Ave",
            "address_2": "Ste 400",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465142487",
            "country_code": "US",
            "telephone_number": "574-522-2284",
            "fax_number": "574-522-3952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 I St",
            "address_purpose": "LOCATION",
            "city": "La Porte",
            "state": "IN",
            "postal_code": "463505533",
            "country_code": "US",
            "telephone_number": "219-324-1700",
            "fax_number": "219-324-1602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNALDO",
        "first_name": "FABIAN",
        "middle_name": "JORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01067582A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01067582A",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IN",
            "license": "01067582A",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MI",
            "license": "EMC0004314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200969320",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "farnaldo@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 Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.