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Individual provider Active NPI

Ruth A. McDowell, PA-C

  • Medical Physician Assistant
  • South Bend, IN
National Provider Identifier
1619069606
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10004370A Issued in IN
Practice address
765 S Michigan St
South Bend, IN 46601-3101
Phone
(574) 235-7990
Fax
(574) 847-7201
NPI assigned
Sep 28, 2006
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10004370A IN Primary

Addresses

Primary practice location

765 S Michigan St
South Bend, IN 46601-3101

Mailing address

8003 Castleway Dr
Indianapolis, IN 46250-1946
Phone (317) 576-1335

Other practice location 1

1901 W Western Ave Ste B
South Bend, IN 46619-3570
Phone (574) 234-9033

Other names 1

  • Mrs. Ruth Ann McDowell Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240617002074 IN Practitioner - Physician Assistant 4587658901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Health Centers IncGroup PAC ID 3971599473, 63 clinicians

Practice addresses (Care Compare)

765 S Michigan St
South Bend, IN 46601-3101
Phone (574) 235-7990

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Health Centers Inc CurrentSince May 14, 2024 Accepting new patients
Emergency Care Specialists PC Past Accepting new patients
Indiana Health Centers, Inc. Past Accepting new patients
Indiana Health Centers, Inc. Past Accepting new patients
Lakeland Community Hospital Watervliet Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8003 Castleway Dr
Indianapolis, IN 46250
Phone (317) 576-1335

1901 W Western Ave
Ste B
South Bend, IN 46619
Phone (574) 234-9033

765 S Michigan St
South Bend, IN 46601
Phone (574) 235-7990

Interoperability endpoints

  • Direct secure messaging: rmcdowell97648@direct.bronsonhg.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1619069606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 CASTLEWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501946",
            "telephone_number": "317-576-1335",
            "fax_number": "317-343-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 S MICHIGAN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466013101",
            "telephone_number": "574-235-7990",
            "fax_number": "574-847-7201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 W Western Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466193570",
            "country_code": "US",
            "telephone_number": "574-234-9033",
            "fax_number": "574-847-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "RUTH",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10004370A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "MCDOWELL",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "PA C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.