Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMUEL BENJAMIN HUXLEY MD
NPI 1023511870
Internal Medicine - Interventional Cardiology in South Bend, IN

Q: What is Samuel Huxley's NPI number?

The NPI number for Samuel Huxley is 1023511870. It was assigned to this individual provider in the NPPES registry on March 16, 2018.

Q: What is Samuel Huxley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Huxley was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 16, 2018PECOS EnrolledAccepts Medicare Assignment

610 N MICHIGAN ST STE 400, SOUTH BEND, IN 46601(574) 647-8120 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2025, Nov 9, 2025, Jun 29, 2025 and 4 more (7 updates tracked since 2018).

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About Samuel Benjamin Huxley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL BENJAMIN HUXLEY MD (NPI 1023511870) is an individual interventional cardiology provider in South Bend, Indiana, licensed in Indiana (01097988A) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1023511870

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameSAMUEL BENJAMIN HUXLEYCredential: MD

Location Address610 N MICHIGAN ST STE 400South Bend, IN 46601-1081

Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-3725

Phone(574) 647-8120

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2018

Enumeration DateMarch 16, 2018

Last NPPES UpdateJune 17, 20267 updates tracked since enumeration

NPPES CertifiedJune 17, 2026

✔ NPI 1023511870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in IN · 01097988A

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 01097988A (IN)

610 N MICHIGAN ST STE 400, South Bend, IN 46601

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Secondary Practice Locations 6

Location 13601 W 13 Mile RdRoyal Oak, MI 48073-6712 · Phone (248) 898-4198

Location 23220 Beacon Pkwy Ste 200Granger, IN 46530-7196 · Phone (574) 647-8788

Location 3202 Lincolnway E Ste 201Mishawaka, IN 46544-2079 · Phone (574) 584-2812 · Fax (574) 584-2813

Location 4900 I St Ste 100LA Porte, IN 46350-5533 · Phone (219) 324-1700

Location 5576 N Oak DrPlymouth, IN 46563-1664 · Phone (574) 647-5170 · Fax (574) 647-5183

Location 61020 High RdBremen, IN 46506-1093 · Phone (574) 309-9967

Other Identifiers 1

Medicaid300121696IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Benjamin Huxley Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961751250

PECOS Enrollment IDI20251030002712

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150058

Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAYANK KUMAR MITTAL MD

Internal Medicine (Interventional Cardiology)