Individual provider Active NPI

Nicholas Rizzo, M.D.

  • Internal Medicine Physician
  • South Bend, IN
National Provider Identifier
1669447272
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01092630A Issued in IN
Practice address
615 N Michigan St FL 1
South Bend, IN 46601-1033
Phone
(574) 647-3050
Fax
(574) 647-1094
NPI assigned
Feb 18, 2006
Last updated
Oct 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 61331 TN
Internal Medicine Physician 207R00000X 01092630A IN Primary
Internal Medicine Physician 207R00000X 036095309 IL
Internal Medicine Physician 207R00000X S4223 TX
Internal Medicine Physician 207R00000X 1029189 MA

Addresses

Primary practice location

615 N Michigan St FL 1
South Bend, IN 46601-1033

Mailing address

7270 W College Dr Ste 102
Palos Heights, IL 60463-1287
Phone (708) 603-5980

Other practice location 1

235 North Pearl St
Brockton, MA 02301
Phone (508) 427-3000

Other practice location 2

4515 Seton Center Pkwy Ste 220
Austin, TX 78759-5784
Phone (512) 338-8388

Other practice location 3

7270 W College Dr
Suite 102
Palos Heights, IL 60463-1154
Phone (708) 603-5980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100624000861 IL Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Hospitalist 7719018464 Reassigns benefits to 1 organization
I20240410000673 IN Practitioner - Internal Medicine 7719018464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northwestern University Feinberg Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians
Premiere General Medicine S CGroup PAC ID 7719159961, 2 clinicians

Practice addresses (Care Compare)

615 N Michigan St FL
1 Beacon Medical Group Hospital Spec
South Bend, IN 46601-1033
Phone (574) 647-3050

7270 W College Dr
Suite 102
Palos Heights, IL 60463-1287
Phone (708) 603-5980

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036095309ILMDInternal Medicine Physician
01092630AINMDInternal Medicine Physician
61331TNMDInternal Medicine Physician
S4223TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group, Inc. Current Accepting new patients
Premiere General Medicine S C Internal Medicine CurrentSince Sep 1, 2011 Accepting new patients
Beacon Medical Group Inc CurrentSince May 1, 2024 Accepting new patients
Little Company of Mary Affiliated Services Inc Internal Medicine Current Accepting new patients
Beacon Medical Group, Inc. Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients

Locations

2800 W 87th St
Chicago, IL 60652
Phone (312) 423-4200

12261 S 80TH Ave
Palos Heights, IL 60463
Phone (708) 361-6990

12450 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 448-1207

7270 W College Dr
Ste 102
Palos Heights, IL 60463
Phone (708) 371-1030

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (269) 552-2823

615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000

615 N Michigan St
Fl 1
South Bend, IN 46601
Phone (574) 647-1100

Interoperability endpoints

  • Direct secure messaging: nicholas.rizzo.1@9131.direct.athenahealth.com

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793145600000",
    "number": "1669447272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7270 W COLLEGE DR STE 102",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631287",
            "telephone_number": "708-603-5980",
            "fax_number": "708-589-9059"
        },
        {
            "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": "574-647-1094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 North Pearl St",
            "address_purpose": "LOCATION",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "country_code": "US",
            "telephone_number": "508-427-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4515 Seton Center Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787595784",
            "country_code": "US",
            "telephone_number": "512-338-8388",
            "fax_number": "512-406-6274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7270 W College Dr",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631154",
            "country_code": "US",
            "telephone_number": "708-603-5980",
            "fax_number": "708-589-9059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIZZO",
        "first_name": "NICHOLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-18",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "61331",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01092630A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036095309",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S4223",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "1029189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.