Active NPI
Shamiram Badal, M.D.
- Family Medicine Physician
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A113428
- Practice address
- 2930 W Cleveland Rd
South Bend, IN 46628-6090 - Phone
- (574) 335-8450
- Fax
- (574) 335-0760
- NPI assigned
- Jan 20, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 125053883 | IL | |
| Family Medicine Physician | 207Q00000X | A113428 | CA | Primary |
Addresses
Primary practice location
2930 W Cleveland Rd
South Bend, IN 46628-6090
Mailing address
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-8700
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000789617 | Other | IN | BCBS |
| 125053883 | Other | IL | STATE LICENSE |
| 201073880 | Medicaid | IN | |
| 01070305A | Other | IN | IN STATE ID |
| 000000856561 | Other | IN | BCBS NW |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shamiram.badal@directsjpn.mhin.net | Direct |
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
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2930 W Cleveland Rd Ext
Northwest Family Medicine
South Bend, IN 46628-6090
Phone (574) 335-8450
Hospital & facility affiliations
- Saint Joseph Vna Home Care
- Saint Joseph Regional Medical Center
- Memorial Hospital of South Bend
- Saint Joseph Regional Medical Center - Plymouth
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A113428 | CA | MD | Pediatric Anesthesiology Physician |
| 125053883 | IL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Regional Medical Center, Inc. | Current | Accepting new patients | |
| Emanuel Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
Locations
611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
60101 Bodnar Blvd
Ste 100B
Mishawaka, IN 46544
Phone (574) 335-8500
2930 W Cleveland Road Ext
South Bend, IN 46628
Phone (574) 335-8450
707 Cedar St
Ste 200
South Bend, IN 46617
Phone (574) 237-1328
Organizations & group practices 2
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
-
- Family Medicine Physician
- Turlock, CA
- NPI 1275764615
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
-
- General Acute Care Hospital
- Plymouth, IN
- NPI 1174571129
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
-
- Home Health Agency
- South Bend, IN
- NPI 1093746562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1760629307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5215 HOLY CROSS PKWY",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465451469",
"telephone_number": "574-335-8700",
"fax_number": "574-335-0760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 W CLEVELAND RD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466286090",
"telephone_number": "574-335-8450",
"fax_number": "574-335-0760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADAL",
"first_name": "SHAMIRAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-20",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "125053883",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A113428",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000789617",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "125053883",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201073880",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN STATE ID",
"identifier": "01070305A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NW",
"identifier": "000000856561",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shamiram.badal@directsjpn.mhin.net",
"affiliation": "N",
"endpointDescription": "my direct email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "ccd",
"address_1": "2930 W Cleveland Rd",
"city": "South Bend",
"state": "IN",
"country_code": "US",
"postal_code": "466286090",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 13, 2026; 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.