Individual provider Active NPI

Bethany L. McDaniel-Vanderzwaag, M.D.

  • Family Medicine Physician
  • South Bend, IN
National Provider Identifier
1639178650
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01048946A Issued in IN
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1100030865OtherINANTHEM
200147110MedicaidIN

Other names 1

  • Dr. Bethany L. Vanderzwaag Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050218000687 IN Practitioner - Family Practice 8325090210 Reassigns benefits to 5 organizations

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

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Jan 17, 2022 Accepting new patients
Saint Joseph Regional Medical Center, Inc. Family Medicine CurrentSince Jun 15, 2023 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc CurrentSince Jun 15, 2023 Accepting new patients
Healthlinc, Inc CurrentSince Jan 1, 2021 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. CurrentSince Jun 15, 2023 Accepting new patients
Healthlinc, Inc CurrentSince Jan 1, 2021 Accepting new patients
Parkview Health System Inc Family Medicine CurrentSince Mar 7, 2015 Accepting new patients
Oak Street Health Physicians Group, PC Past Accepting new patients
Everside Health, LLC PastSince Sep 23, 2021 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.