Individual provider Active NPI

Ernest Alexander Vera-Vazquez, D.O

  • Internal Medicine Physician
  • South Bend, IN
National Provider Identifier
1689968349
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
02004982A Issued in IN
Practice address
1901 W Western Ave Ste B
South Bend, IN 46619-3570
Phone
(574) 234-9033
Fax
(844) 397-1310
NPI assigned
May 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 02004982A IN Primary
Internal Medicine Physician 207R00000X 5101019365 MI

Addresses

Primary practice location

1901 W Western Ave Ste B
South Bend, IN 46619-3570

Mailing address

PO Box 746720
Atlanta, GA 30374-6720
Phone (833) 804-1695

Other practice location 1

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 982-4941

Other practice location 2

422 W McKinley Ave Ste B
Mishawaka, IN 46545-5522
Phone (574) 666-2573

Other names 1

  • Alex Vera Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, 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
I20140529001589 MI Practitioner - Internal Medicine 2961625561 Reassigns benefits to 1 organization
I20170214000270 IN Practitioner - Osteopathic Manipulative Medicine 2961625561 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
West Virginia School of Osteopathic Medicine, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Osh-in Physicians Group PCGroup PAC ID 6800100512, 62 clinicians

Practice addresses (Care Compare)

422 W McKinley Ave
Suite B
Mishawaka, IN 46545-5522
Phone (574) 666-2573

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101019365MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Indiana, LLC Internal Medicine CurrentSince Jul 23, 2018 Accepting new patients
Osh-in Physicians Group, PC CurrentSince Mar 14, 2026 Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine Current Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince Sep 4, 2018 Accepting new patients
Rappha Medical Center, P.L.L.C. Internal Medicine CurrentSince Mar 5, 2022 Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince Sep 4, 2018 Accepting new patients
Oak Street Health Physicians Group, PC Internal Medicine Past Accepting new patients
Lakeland Medical Practices Internal Medicine PastSince Mar 5, 2022 Accepting new patients

Locations

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

422 W McKinley Ave
Ste B
Mishawaka, IN 46545
Phone (574) 666-2571

5926 Crawfordsville Rd
#B
Speedway, IN 46224
Phone (317) 653-2730

3911 Stonegate Park
Saint Joseph, MI 49085
Phone (269) 408-1777

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1306713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1689968349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746720",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746720",
            "telephone_number": "833-804-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W WESTERN AVE STE B",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466193570",
            "telephone_number": "574-234-9033",
            "fax_number": "844-397-1310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1234 Napier Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MI",
            "postal_code": "490852112",
            "country_code": "US",
            "telephone_number": "269-982-4941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "422 W McKinley Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465455522",
            "country_code": "US",
            "telephone_number": "574-666-2573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERA-VAZQUEZ",
        "first_name": "ERNEST",
        "middle_name": "ALEXANDER",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-30",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02004982A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101019365",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "VERA",
            "credential": "D.O",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.