Khutb Mohammed Uddin, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01037643A Issued in IN

Practice address

239 N Dixie Way
South Bend, IN 46637-3309

Phone

(574) 243-0112

Fax

(574) 243-3881

NPI assigned

Oct 3, 2006

Last updated

Jul 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, IL2 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

Specialty

Psychiatry

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Star Psychiatric Services PC

  • Psychiatry Physician
  • South Bend, IN
  • NPI 1700138492
  Medicare reassignment Authorized official
• Psychiatry of Texas PLLC

  dba Psychplus Associates

  • Psychiatry Physician
  • Houston, TX
  • NPI 1013476027

  IL, IN

  Medicare reassignment Care Compare group
• Star Psychiatric Services PC

  • Psychiatric Hospital Unit
  • South Bend, IN
  • NPI 1922854728
  NPD Authorized official
• Indiana United Psych LLC

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1558237693
  Medicare reassignment
• Psychplus Medical Associates, PLLC

  • Family Medicine Physician
  • Houston, TX
  • NPI 1558118026

  IL, IN

  Medicare reassignment
• Bowen Health Inc

  dba Otis R Bowen Center

  • Adult Mental Health Clinic/Center
  • Warsaw, IN
  • NPI 1639172810
  NPD (past)
• South Bend Psychiatry LLC

  • Psychiatry Physician
  • Plymouth, IN
  • NPI 1700112224
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1336234756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 N DIXIE WAY",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373309",
            "telephone_number": "574-243-0112",
            "fax_number": "574-243-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 N DIXIE WAY",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373309",
            "telephone_number": "574-243-0112",
            "fax_number": "574-243-3881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 S Whitlock St",
            "address_purpose": "LOCATION",
            "city": "Bremen",
            "state": "IN",
            "postal_code": "465061626",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "KHUTB",
        "middle_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01037643A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100347010A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Velma Tyce
• Camie Tyler, MSW
• Shriyani Taylor Tysen, NP
• U.S. Healthworks Medical Group of Indiana, PC
• Kayra Gizem Ucpinar
• Mairaj Uddin, M.D.M.P.H.
• Francesca E Udoh, NP
• Marie K Udulutch, PSYD
• Stephanie Ufkin, NP-C
• Theresa Uhrich, MSW

• Psychiatry Physician in South Bend, IN
• Providers in South Bend, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.

Verify at the official NPI Registry.