Stephen Dinsmoor Nightingale, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01074832A Issued in IN

Practice address

5838 W Brick Rd Ste 106
South Bend, IN 46628-8420

Phone

(574) 247-1911

NPI assigned

Jun 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1952507170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5838 W BRICK RD STE 106",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466288420",
            "telephone_number": "574-247-1911",
            "fax_number": "574-247-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 W BRICK RD STE 106",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466288420",
            "telephone_number": "574-247-1911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "998 E 1000 N",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463508636",
            "country_code": "US",
            "telephone_number": "219-778-3226",
            "fax_number": "240-235-4442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "998 E 1000 N",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463508636",
            "country_code": "US",
            "telephone_number": "219-778-3226",
            "fax_number": "240-235-4442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIGHTINGALE",
        "first_name": "STEPHEN",
        "middle_name": "DINSMOOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D15904",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H3129",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-059866",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01074832A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Alvarez Nidea, MD
• Matthew Ryan Nieland
• Monika Niemiec, MD
• Jeff Lee Niespodziany, DPM
• Natalie Danielle Nieto, DO
• Barbara B Niklinska, MD
• Randy Nims, MA
• Sheri A Nisely Frazier, MSW LCSW ACSW
• Michael Nivens, BA
• Sandria R Nixon, DR. FNP

• Internal Medicine Physician in South Bend, IN
• Providers in South Bend, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.