Active NPI
Charles Yi
- Internal Medicine Physician
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01100618A
- Practice address
- 615 N Michigan St FL 1
South Bend, IN 46601-1033 - Phone
- (574) 647-3050
- Fax
- (574) 647-1091
- NPI assigned
- Mar 28, 2022
- Last updated
- Aug 31, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01100618A | IN | Primary |
Addresses
Primary practice location
615 N Michigan St FL 1
South Bend, IN 46601-1033
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-3725
Other practice location 1
600 East Blvd Fl 4
Elkhart, IN 46514-2483
Phone (574) 389-7393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300135546 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- 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
- Internal Medicine
- Education
- University of Massachusetts Medical School, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1114 Shelton Beach Rd
Saraland, AL 36571-3016
Phone (251) 633-0123
2350 Schillinger Rd S
Suite a
Mobile, AL 36695-4177
Phone (251) 633-0123
2451 University Hospital Dr
Mobile, AL 36617-2300
Phone (251) 471-7000
3719 Dauphin St
Mobile, AL 36608-1753
Phone (251) 344-9630
4402 Old Shell Rd
Mobile, AL 36608-1912
Phone (251) 633-0123
75 S University Blvd
Unit 6000
Mobile, AL 36608-3274
Phone (251) 660-5555
750 Morphy Ave
Fairhope, AL 36532-1812
Phone (251) 928-2375
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.47904 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gmuc of Citronelle LLC | Current | Accepting new patients | |
| Greater Mobile Urgent Care | Current | Accepting new patients | |
| Inpatient Consultants of Alabama, Inc | Internal Medicine | Current | Accepting new patients |
| Greater Mobile Urgent Care | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| Gmuc of Springhill LLC | Current | Accepting new patients | |
| Gmuc of Saraland | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Internal Medicine | Current | Accepting new patients |
| Beacon Medical Group, Inc. | Internal Medicine | Past | Accepting new patients |
| Beacon Medical Group Inc | Past | Accepting new patients |
Locations
19355 N 3rd St
Ste 104
Citronelle, AL 36522
Phone (251) 633-0123
750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375
575 Stanton Rd
Mobile, AL 36617
Phone (251) 471-7207
4402 Old Shell Rd
Mobile, AL 36608
Phone (251) 633-0123
75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282
75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555
2451 University Hospital Dr
Rm 714
Mobile, AL 36617
Phone (251) 445-8282
2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123
1114 Shelton Beach Rd
Saraland, AL 36571
Phone (251) 633-0123
7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618
Organizations & group practices 10
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.
-
- Family Medicine Physician
- Saraland, AL
- NPI 1396161758
-
- Family Medicine Physician
- Mobile, AL
- NPI 1952617508
-
- Family Medicine Physician
- Mobile, AL
- NPI 1801063938
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1235238916
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1720645468
-
- Family Medicine Physician
- Citronelle, AL
- NPI 1164794343
-
- Family Medicine Physician
- Semmes, AL
- NPI 1275848095
-
dba USA Radiology
- Diagnostic Radiology Physician
- Mobile, AL
- NPI 1609434067
-
dba Beacon Medical Group Anesthesia Elkhart
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
dba Beacon Bone and Joint Specialists
- Critical Care Medicine (Internal Medicine) Physician
- Elkhart, IN
- NPI 1821222829
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Springhill Memorial Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1003814971
-
dba USA Health University Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1063468072
-
dba USA Health Reference Lab Billing
- General Acute Care Hospital
- Mobile, AL
- NPI 1972138022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1407506744",
"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": "574-647-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N MICHIGAN ST FL 1",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011033",
"telephone_number": "574-647-3050",
"fax_number": "574-647-1091"
}
],
"practiceLocations": [
{
"address_1": "600 East Blvd Fl 4",
"address_purpose": "LOCATION",
"city": "Elkhart",
"state": "IN",
"postal_code": "465142483",
"country_code": "US",
"telephone_number": "574-389-7393",
"fax_number": "574-647-1094",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YI",
"first_name": "CHARLES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-28",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01100618A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300135546",
"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 Aug 31, 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.