Kenneth Eugene Elek, M.D.
Individual provider Active NPI Family Medicine Physician · South Bend, IN
NPI 1912995267 · NPPES record last updated Aug 22, 2024
Key facts
- NPI
- 1912995267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01031577A (IN)
- Practice address
- 714 N Michigan St
South Bend, IN 46601-1035 - Phone
- (574) 647-7477
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beacon Medical Group Inc
Practice addresses (Care Compare)
6913 N Main St
Medpoint Urgent Care
Granger, IN 46530-8039
Phone (574) 647-1550
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040930000123 | IN | Practitioner - Family Practice | 7810966496 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Beacon Medical Group, Inc. | Family Medicine | Current |
Accepting new patients |
| Beacon Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Beacon Medical Group Inc | Current |
Accepting new patients | |
| Beacon Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Beacon Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
Locations
6913 N Main St
Granger, IN 46530
Phone (574) 647-1500
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129
900 I St
Laporte, IN 46350
Phone (219) 324-1670
100 Navarre Pl
Ste 4470
South Bend, IN 46601
Phone (574) 647-1300
1815 E Ireland Rd
South Bend, IN 46614
Phone (574) 647-1700
707 N Michigan St
Ste 102
South Bend, IN 46601
Phone (574) 367-3800
710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610
111 W Jefferson Blvd
Ste 100
South Bend, IN 46601
Phone (574) 647-1669
714 N Michigan St
South Bend, IN 46601
Phone (574) 647-7477
Interoperability endpoints
- kelek@mybeacon.cernerdirect.com
- kenelek@beacon.allscriptsdirect.net
- elek@mybeacon.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01031577A | IN | Yes |
Addresses
Primary practice location
714 N Michigan St
South Bend, IN 46601-1035
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-2129
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100223720 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ELEK@mybeacon.cernerdirect.com |
Other providers in South Bend, IN
- Robert M Einterz
- Anne Eisenhart
- El Shaddai Ministry Co.
- Yahya El-Shinnawy
- Samira Hassan El-Zind
- Elite Homehealth Care Services, LLC
- Christopher J Ellenberger
- Tori Ellinger
- Elliott and Morlan LLC
- Daniel O. Elliott III
All providers in South Bend, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.