Individual provider Active NPI

Ryan James O'Rourke, MD

  • Orthopaedic Surgery Physician
  • South Bend, IN
National Provider Identifier
1801244827
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01087518A Issued in IN
Practice address
1815 E Ireland Rd
South Bend, IN 46614-2845
Phone
(574) 647-1700
Fax
(574) 647-7572
NPI assigned
May 31, 2016
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 01087518A IN Primary
Orthopaedic Surgery Physician 207X00000X 125.068130 IL
Orthopaedic Surgery Physician 207X00000X 4301510024 MI
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 20262 NV

Addresses

Primary practice location

1815 E Ireland Rd
South Bend, IN 46614-2845

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-1840

Other practice location 1

100 Navarre Pl Ste 4440
South Bend, IN 46601-1171
Phone (574) 647-5300

Other practice location 2

1021 Hill St Ste 300
Three Rivers, MI 49093-2744
Phone (269) 858-3024

Other practice location 3

1020 High Rd
Bremen, IN 46506-1093
Phone (574) 309-9967

Other identifiers 2

IdentifierTypeStateIssuer
1801244827MedicaidMI
300067352MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 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
I20220831000157 IN Practitioner - Orthopedic Surgery 5890088272 Reassigns benefits to 1 organization
I20230802004236 MI Practitioner - Orthopedic Surgery 5890088272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Indiana University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians
Three Rivers Health System IncGroup PAC ID 8729245584, 42 clinicians

Practice addresses (Care Compare)

100 Navarre PL
4440 Beacon Bone and Joint Specialists
South Bend, IN 46601-1171
Phone (574) 647-5300

701 S Health Pkwy
Three Rivers HLTH
Three Rivers, MI 49093-8352
Phone (574) 647-1817

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement21
Knee replacement27
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group, Inc. Current Accepting new patients
Beacon Medical Group, Inc. CurrentSince Aug 29, 2022 Accepting new patients
Three Rivers Health System, Inc CurrentSince Sep 5, 2023 Accepting new patients
Beacon Medical Group Inc CurrentSince Aug 29, 2022 Accepting new patients
Three Rivers Health System, Inc CurrentSince Sep 5, 2023 Accepting new patients
Three Rivers Health System, Inc Current Accepting new patients
Three Rivers Health System, Inc Orthopaedic Surgery Past Accepting new patients
Three Rivers Health Past Accepting new patients
Beacon Medical Group, Inc. Orthopaedic Surgery Past Accepting new patients

Locations

1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967

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

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

900 I St
Laporte, IN 46350
Phone (219) 324-1670

100 Navarre Pl
Ste 4440
South Bend, IN 46601
Phone (574) 647-4540

1815 E Ireland Rd
South Bend, IN 46614
Phone (574) 647-1700

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

6301 University Commons
Ste 420
South Bend, IN 46635
Phone (574) 968-2832

1021 Hill St
Ste 300
Three Rivers, MI 49093
Phone (269) 858-2025

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

711 S Health Parkway
Ste 1
Three Rivers, MI 49093
Phone (269) 273-6400

Organizations & group practices 9

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 5

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1801244827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380",
            "telephone_number": "574-647-1840",
            "fax_number": "702-734-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E IRELAND RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142845",
            "telephone_number": "574-647-1700",
            "fax_number": "574-647-7572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Navarre Pl Ste 4440",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466011171",
            "country_code": "US",
            "telephone_number": "574-647-5300",
            "fax_number": "574-647-5305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 Hill St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Three Rivers",
            "state": "MI",
            "postal_code": "490932744",
            "country_code": "US",
            "telephone_number": "269-858-3024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 High Rd",
            "address_purpose": "LOCATION",
            "city": "Bremen",
            "state": "IN",
            "postal_code": "465061093",
            "country_code": "US",
            "telephone_number": "574-309-9967",
            "fax_number": "574-309-9968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01087518A",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "125.068130",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301510024",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NV",
            "license": "20262",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801244827",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300067352",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.