Active NPI
Neil James Sink, M.D.
- Obstetrics & Gynecology Physician
- Mishawaka, IN
National Provider Identifier
1659509065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 01079255A
- Practice address
- 611 E Douglas Rd Ste 408
Mishawaka, IN 46545-1468 - Phone
- (574) 335-6440
- Fax
- (574) 335-0806
- NPI assigned
- Jun 24, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01079255A | IN | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 29080 | NE |
Addresses
Primary practice location
611 E Douglas Rd Ste 408
Mishawaka, IN 46545-1468
Mailing address
707 E Cedar St
Suite 200
South Bend, IN 46617-2057
Phone (574) 335-8707
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300006551 | Medicaid | IN | |
| IN1041052 | Other | IN | MEDICARE |
| 000001119328 | Other | IN | BCBS |
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
- Obstetrics/Gynecology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
611 E Douglas Rd
408 OBGYN
Mishawaka, IN 46545-1468
Phone (574) 335-6440
Hospital & facility affiliations
- Saint Joseph Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29080 | NE | MD | Obstetrics & Gynecology Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1659509065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 E CEDAR ST",
"address_2": "SUITE 200",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466172057",
"telephone_number": "574-335-8707",
"fax_number": "574-335-0741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 E DOUGLAS RD STE 408",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465451468",
"telephone_number": "574-335-6440",
"fax_number": "574-335-0806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINK",
"first_name": "NEIL",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-24",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01079255A",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NE",
"license": "29080",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300006551",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IN1041052",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000001119328",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.