Active NPI
Dennis Fitzpatrick, MD
- Critical Care Medicine (Anesthesiology) Physician
- Elkhart, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Anesthesiology) Physician
- License
- 01064493A
- Practice address
- 500 Arcade Ave Ste 210
Elkhart, IN 46514-2485 - Phone
- (574) 389-5656
- Fax
- (574) 523-7891
- NPI assigned
- Nov 2, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 46012 | WI | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 01064493A | IN | Primary |
Addresses
Primary practice location
500 Arcade Ave Ste 210
Elkhart, IN 46514-2485
Mailing address
710 N Niles Ave
South Bend, IN 46617-1924
Phone (574) 647-1610
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13580 | Other | WI | DEAN |
| 34427300 | Medicaid | WI | |
| 46012 | Other | WI | TOUCHPOINT |
| WI01K9 | Other | WI | JOHN DEERE |
| 200986470 | Medicaid | IN | |
| 236040234 | Other | IN | MEDICARE PTAN |
| P00058702 | Other | WI | RAILROAD MEDICARE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100608000404 | IN | Practitioner - Anesthesiology | 0143128843 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Chicago College of Medicine and Surgery, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beacon Medical Group Inc
Practice addresses (Care Compare)
600 E Blvd
Elkhart, IN 46514-2483
600 E Blvd 4TH FL Hospitalists
BMG Hospital Specialties
Elkhart, IN 46514-2483
Phone (574) 647-3050
6913 N Main St
Granger, IN 46530-8039
Hospital & facility affiliations
- Elkhart General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01064493A | IN | MD | Critical Care Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sda Consultants PLLC | Current | Accepting new patients | |
| Stat Anesthesia Specialists LTD | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Stat Anesthesia Specialists, LTD. | Current | Accepting new patients | |
| Great Lakes Anesthesia, P.C. | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| University Anesthesiologists, Inc. | Critical Care Medicine | Past | Accepting new patients |
| Northcoast Anesthesia Providers | Critical Care Medicine | Past | Accepting new patients |
Locations
1004 Parkway Ave
Ste A
Elkhart, IN 46516
Phone (800) 966-7841
600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621
500 Arcade Ave
Ste 210
Elkhart, IN 46514
Phone (574) 389-5656
500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683
6913 N Main St
Granger, IN 46530
Phone (574) 647-1500
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
9200 Calumet Ave
Ste S100
Munster, IN 46321
Phone (219) 576-6260
1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181
10220 Wicker Ave
Ste 3
Saint John, IN 46373
Phone (219) 515-6943
710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610
Interoperability endpoints
- dfitzpatrick1147740@direct.trinity-health.org
Organizations & group practices 10
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.
-
- Mobile Mammography Clinic/Center
- South Bend, IN
- NPI 1023844693
IN
-
- Critical Care Medicine (Internal Medicine) Physician
- Mishawaka, IN
- NPI 1699132365
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
-
- Anesthesiology Physician
- Bremen, IN
- NPI 1992754089
-
- Critical Care Medicine (Anesthesiology) Physician
- Westlake, OH
- NPI 1982697116
Critical Care Medicine
-
- Anesthesiology Physician
- Cleveland, OH
- NPI 1184662009
Critical Care Medicine
Hospital & facility affiliations 1
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": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831180306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 N NILES AVE",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466171924",
"telephone_number": "574-647-1610",
"fax_number": "574-237-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ARCADE AVE STE 210",
"city": "ELKHART",
"state": "IN",
"postal_code": "465142485",
"telephone_number": "574-389-5656",
"fax_number": "574-523-7891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "DENNIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "WI",
"license": "46012",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "IN",
"license": "01064493A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN",
"identifier": "13580",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34427300",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TOUCHPOINT",
"identifier": "46012",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "WI01K9",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200986470",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "236040234",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00058702",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.