Individual provider Active NPI

Steven Hanberg, MD

  • Internal Medicine Physician
  • Elkhart, IN
National Provider Identifier
1821180381
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01043188 Issued in IN
Practice address
3301 County Road 6 E
Elkhart, IN 46514-4122
Phone
(574) 264-9635
Fax
(574) 262-8485
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01043188 IN Primary

Addresses

Primary practice location

3301 County Road 6 E
Elkhart, IN 46514-4122

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380

Other identifiers 1

IdentifierTypeStateIssuer
100460600MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HANBERG@mybeacon.cernerdirect.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080708000034 IN Practitioner - Internal Medicine 3173695293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians

Practice addresses (Care Compare)

1506 Osolo Rd
Suite C
Elkhart, IN 46514-4122
Phone (574) 266-6050

Hospital & facility affiliations

  • Elara Caring Home health agency, Valparaiso, IN, CCN 157095
  • Elkhart General Hospital Hospital, Elkhart, IN, CCN 150018
  • Memorial Hospital of South Bend Hospital, South Bend, IN, CCN 150058
  • Elkhart Meadows Nursing home, Elkhart, IN, CCN 155352

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01043188INMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group Inc CurrentSince Jan 1, 2014 Accepting new patients
Beacon Medical Group, Inc. Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
Major Hospital Past Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients

Locations

3301 County Road 6 E
Elkhart, IN 46514
Phone (574) 264-9635

724 W Bristol St
Ste G
Elkhart, IN 46514
Phone (219) 266-6050

1506 Osolo Rd
#C
Elkhart, IN 46514
Phone (574) 262-3631

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

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610

Interoperability endpoints

  • Direct secure messaging: shanberg@mybeacon.cernerdirect.com
  • Direct secure messaging: hanberg@mybeacon.cernerdirect.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Elkhart MeadowsElkhart, IN, CCN 155352 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Nov 15, 2018
Mar 31, 2026
Trailpoint VillageSouth Bend, IN, CCN 155103 Skilled nursing facility Contracted Managing Employee Aug 18, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1821180381",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 COUNTY ROAD 6 E",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465144122",
            "telephone_number": "574-264-9635",
            "fax_number": "574-262-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANBERG",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01043188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100460600",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HANBERG@mybeacon.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1506 Osolo Rd",
            "address_2": "Suite C",
            "city": "Elkhart",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465144122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.