Individual provider Active NPI

Dennis Fitzpatrick, MD

  • Critical Care Medicine (Anesthesiology) Physician
  • Elkhart, IN
National Provider Identifier
1831180306
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
01064493A Issued in IN
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
13580OtherWIDEAN
34427300MedicaidWI
46012OtherWITOUCHPOINT
WI01K9OtherWIJOHN DEERE
200986470MedicaidIN
236040234OtherINMEDICARE PTAN
P00058702OtherWIRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100608000404 IN Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 0143128843 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Critical Care (Intensivists)
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 575 clinicians

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 Hospital, Elkhart, IN, CCN 150018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01064493AINMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sda Consultants PLLC CurrentSince Jul 2, 2021 Accepting new patients
Stat Anesthesia Specialists LTD Current Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
Stat Anesthesia Specialists, LTD. CurrentSince Dec 21, 2022 Accepting new patients
Great Lakes Anesthesia, P.C. CurrentSince Apr 1, 2022 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 CurrentSince Jul 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.