Active NPI
Douglas S Kuehn, M.D.
- Diagnostic Radiology Physician
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01032213A
- Practice address
- 121 S Saint Louis Blvd
South Bend, IN 46617-2924 - Phone
- (574) 233-3123
- Fax
- (574) 233-3125
- NPI assigned
- May 18, 2006
- Last updated
- Dec 7, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01032213A | IN | Primary |
Addresses
Primary practice location
121 S Saint Louis Blvd
South Bend, IN 46617-2924
Mailing address
121 S Saint Louis Blvd
South Bend, IN 46617-2924
Phone (574) 233-3123
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
- Diagnostic Radiology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 S Saint Louis Blvd
South Bend, IN 46617-2924
Phone (219) 233-3123
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-5000
Hospital & facility affiliations
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- Plymouth Campus Inc | Current | Accepting new patients | |
| X-Ray Consultants Inc | Diagnostic Radiology | Current | Accepting new patients |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Current | Accepting new patients | |
| XRC Clinical Radiology, LLC | Past | Accepting new patients | |
| XRC Medical Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
250 E Day Rd
Mishawaka, IN 46545
Phone (574) 247-3434
250 E Day Rd
Ste 360
Mishawaka, IN 46545
Phone (574) 247-4333
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
611 E Douglas Rd
Ste 122
Mishawaka, IN 46545
Phone (574) 272-9991
611 E Douglas Rd
Ste 137
Mishawaka, IN 46545
Phone (574) 335-6214
1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181
510 W Adams St
Ste 150
Plymouth, IN 46563
Phone (574) 335-3987
121 S Saint Louis Blvd
South Bend, IN 46617
Phone (219) 233-3123
53940 Carmichael Dr
South Bend, IN 46635
Phone (574) 243-0100
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.
-
- Diagnostic Radiology Physician
- South Bend, IN
- NPI 1770536815
-
dba Saint Joseph Foot and Ankle Sports Medicine Institute Plymouth
- Family Medicine Physician
- Plymouth, IN
- NPI 1538585187
-
dba Saint Joseph Regional Medical Center-South Bend Campus Inc Mobile Med
- Mobile Mammography Clinic/Center
- South Bend, IN
- NPI 1023844693
-
- Hospitalist Physician
- Plymouth, IN
- NPI 1821402876
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
-
- Vascular & Interventional Radiology Physician
- South Bend, IN
- NPI 1154856789
-
- Diagnostic Radiology Physician
- South Bend, IN
- NPI 1609829720
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plymouth, IN
- NPI 1174571129
-
- 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": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196985600000",
"number": "1730132051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 S SAINT LOUIS BLVD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466172924",
"telephone_number": "574-233-3123",
"fax_number": "574-233-3125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 S SAINT LOUIS BLVD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466172924",
"telephone_number": "574-233-3123",
"fax_number": "574-233-3125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUEHN",
"first_name": "DOUGLAS",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2007-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01032213A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 7, 2007; 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.