Active NPI
Bethany L. McDaniel-Vanderzwaag, M.D.
- Family Medicine Physician
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01048946A
- Practice address
- 320 S Martin Luther King Blvd
Suite 300
South Bend, IN 46601-2358 - Phone
- (574) 406-6376
- Fax
- (574) 406-6376
- NPI assigned
- Jul 20, 2005
- Last updated
- Sep 22, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01048946A | IN | Primary |
Addresses
Primary practice location
320 S Martin Luther King Blvd
Suite 300
South Bend, IN 46601-2358
Mailing address
320 S Martin Luther King Blvd
Suite 300
South Bend, IN 46601-2358
Phone (574) 406-6376
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1100030865 | Other | IN | ANTHEM |
| 200147110 | Medicaid | IN |
Other names 1
- Dr. Bethany L. Vanderzwaag
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
- Family Practice
- Education
- Michigan State University College of Human Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17321 State Rd
Suite 23
South Bend, IN 46635-1531
Phone (574) 335-8400
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center, Inc. | Current | Accepting new patients | |
| Villagemd Indiana, PC | Family Medicine | Current | Accepting new patients |
| Saint Joseph Regional Medical Center, Inc. | Family Medicine | Current | Accepting new patients |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| Healthlinc, Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Current | Accepting new patients | |
| Healthlinc, Inc | Current | Accepting new patients | |
| Parkview Health System Inc | Family Medicine | Current | Accepting new patients |
| Oak Street Health Physicians Group, PC | Past | Accepting new patients | |
| Everside Health, LLC | Past | Accepting new patients | |
| Onhealthcare LLC | Past | Accepting new patients |
Locations
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
1545 Cassopolis St
Elkhart, IN 46514
Phone (574) 293-0052
236 Simpson Ave
Elkhart, IN 46516
Phone (574) 293-0052
3421 Cassopolis St
Ste 200
Elkhart, IN 46514
Phone (574) 335-8180
3551 Cassopolis St
Elkhart, IN 46514
Phone (574) 206-0285
6097 Broadway
Merrillville, IN 46410
Phone (219) 758-5152
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
60101 Bodnar Blvd
Ste 100B
Mishawaka, IN 46544
Phone (574) 335-8500
611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232
17321 State Road 23
South Bend, IN 46635
Phone (574) 272-7676
707 Cedar St
Ste 405
South Bend, IN 46617
Phone (574) 237-7878
616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100
Interoperability endpoints
- bmcdanielvanderzwaag2781313@direct.trinity-health.org
Organizations & group practices 12
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.
-
dba Saint Joseph Medical Group
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
-
- Community Health Clinic/Center
- Elkhart, IN
- NPI 1720033418
-
dba Parkview Physicians Group
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
dba Saint Joseph Regional Medical Center-South Bend Campus Inc Mobile Med
- Mobile Mammography Clinic/Center
- South Bend, IN
- NPI 1023844693
-
- Family Medicine Physician
- Merrillville, IN
- NPI 1336676923
-
- Federally Qualified Health Center (FQHC)
- Elkhart, IN
- NPI 1861034688
-
- Critical Care Medicine (Internal Medicine) Physician
- Mishawaka, IN
- NPI 1699132365
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
-
dba Saint Joseph Medical Group
- Family Medicine Physician
- Mishawaka, IN
- NPI 1467406074
-
- Primary Care Clinic/Center
- South Bend, IN
- NPI 1609232321
-
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1083051643
Hospital & facility affiliations 3
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
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1639178650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 S MARTIN LUTHER KING BLVD",
"address_2": "SUITE 300",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466012358",
"telephone_number": "574-406-6376",
"fax_number": "574-406-6376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 S MARTIN LUTHER KING BLVD",
"address_2": "SUITE 300",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466012358",
"telephone_number": "574-406-6376",
"fax_number": "574-406-6376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL-VANDERZWAAG",
"first_name": "BETHANY",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-20",
"last_updated": "2026-09-22",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01048946A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "1100030865",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200147110",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BETHANY",
"last_name": "VANDERZWAAG",
"middle_name": "L.",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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 Sep 22, 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.