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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MEMORIAL HOSPITAL OF SOUTH BEND
NPI 1033034640
General Acute Care Hospital in Elkhart, IN

Active since August 12, 2026
1215 LAWN AVE STE 100, ELKHART, IN 46514(574) 647-1070 Get Directions Write a Review

NPPES record added: September 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2026, Aug 12, 2026 (2 updates tracked since 2026).

About Memorial Hospital Of South Bend NPPES

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

MEMORIAL HOSPITAL OF SOUTH BEND (NPI 1033034640) is a healthcare organization registered as a general acute care hospital in Elkhart, Indiana and active in the NPI registry since August 2026. The organization lists Jeffrey Costello, Cfo, as its authorized official.

NPPES Registry Identity

NPI1033034640
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameMEMORIAL HOSPITAL OF SOUTH BEND
Location Address1215 LAWN AVE STE 100Elkhart, IN 46514-2493
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380
Phone(574) 647-1070
Organization SubpartYes
Authorized OfficialJeffrey CostelloCfo · (574) 647-3460
Enumeration DateAugust 12, 2026
Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1033034640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
1215 LAWN AVE STE 100, Elkhart, IN 46514
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Memorial Hospital Of South Bend is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

33

Medicare enrollment records show 33 clinicians reassign Medicare billing to Memorial Hospital Of South Bend, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Cardiovascular Disease (Cardiology)5
Interventional Cardiology5
Nurse Practitioner5
Hematology/Oncology4
Radiation Oncology4
Gynecological Oncology2
Pulmonary Disease2
Rheumatology2
4 other specialties4

Nearest to this location (20)

See all 33
Juliana Gonsalves, FNP
Nurse Practitioner
NPI 1750146163
1215 LAWN AVE STE 120
Elkhart, IN 46514
(574) 523-2733
✔ PECOS✔ Accepts MedicareSame address
Muhammad Uzair Saqlain, MD
Hematology/Oncology
NPI 1730494915
1215 LAWN AVE STE 120
Elkhart, IN 46514
(574) 523-2733
✔ PECOS✔ Accepts MedicareSame address
Omer Toor, MD
Hematology/Oncology
NPI 1477868180
1215 LAWN AVE STE 120
Elkhart, IN 46514
(574) 523-2733
✔ PECOS✔ Accepts MedicareSame address
Hafiz Aslam, MD
Hematology/Oncology
NPI 1740761915
1215 LAWN AVE STE 120
Elkhart, IN 46514
(574) 523-2733
✔ PECOS✔ Accepts MedicareSame address
Lauren Das, MD
Radiation Oncology
NPI 1659651735
600 EAST BLVD
Elkhart, IN 46514
(574) 523-7857
✔ PECOS✔ Accepts Medicare0.1 mi
Russell Johnson, MD
Radiation Oncology
NPI 1003801283
600 EAST BLVD
Elkhart, IN 46514
(574) 523-7857
✔ PECOS✔ Accepts Medicare0.1 mi
Iryna Kulyk, MD
Internal Medicine
NPI 1487062741
3220 BEACON PKWY
Granger, IN 46530
(574) 999-8788
✔ PECOS✔ Accepts Medicare8.9 mi
Paul Guentert, M.D.
Critical Care (Intensivists)
NPI 1255316782
611 E DOUGLAS RD STE 309
Mishawaka, IN 46545
(574) 246-9350
✔ PECOS✔ Accepts Medicare9.5 mi
Natali Balog, MD
Rheumatology
NPI 1578552386
6901 N MAIN ST STE 102
Granger, IN 46530
(574) 647-4500
✔ PECOS✔ Accepts Medicare10 mi
Maryann Domingo, M.D.
Rheumatology
NPI 1053396127
6901 N MAIN ST STE 102
Granger, IN 46530
(574) 647-4500
✔ PECOS✔ Accepts Medicare10 mi
Ahmed Abdel Latief, MD
Cardiovascular Disease (Cardiology)
NPI 1093704801
211 N EDDY ST
South Bend, IN 46617
(574) 239-1433
✔ PECOS✔ Accepts Medicare13 mi
Haley Bywaters, NP
Nurse Practitioner
NPI 1801540034
615 N MICHIGAN ST
South Bend, IN 46601
(574) 647-1100
✔ PECOS✔ Accepts Medicare13 mi
David Hornback, MD
Radiation Oncology
NPI 1790770964
615 N MICHIGAN ST
South Bend, IN 46601
(574) 647-1100
✔ PECOS✔ Accepts Medicare13 mi
James Jin, M.D.
Medical Oncology
NPI 1215900311
615 N MICHIGAN ST
South Bend, IN 46601
(574) 647-1100
✔ PECOS✔ Accepts Medicare13 mi
Samuel Mcgrath, MD
Radiation Oncology
NPI 1346454998
615 N MICHIGAN ST
South Bend, IN 46601
(574) 647-1100
✔ PECOS✔ Accepts Medicare13 mi
Nonyem Onujiogu, MD
Gynecological Oncology
NPI 1124262522
615 N MICHIGAN ST
South Bend, IN 46601
(574) 647-1100
✔ PECOS✔ Accepts Medicare13 mi
Latoya Perry, M.D.
Gynecological Oncology
NPI 1629255880
615 N MICHIGAN ST
South Bend, IN 46601
(574) 647-1100
✔ PECOS✔ Accepts Medicare13 mi
Muhammad Aslam, MD
Interventional Cardiology
NPI 1023053022
610 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8120
✔ PECOS✔ Accepts Medicare13 mi
Gary Fromm, MD
Pulmonary Disease
NPI 1184722076
615 N MICHIGAN ST MEDICAL EDUCATION DEPT MEMORIAL HOSPITAL
South Bend, IN 46601
(574) 243-4768
✔ PECOS✔ Accepts Medicare13 mi
Javed Malik, D.O.
Hematology/Oncology
NPI 1457666497
621 MEMORIAL DR STE 100
South Bend, IN 46601
(574) 647-1100
✔ PECOS✔ Accepts Medicare13 mi
See all 33 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Memorial Hospital Of South Bend's NPI number?

The NPI number for Memorial Hospital Of South Bend is 1033034640. It was assigned to this organization in the NPPES registry on August 12, 2026.

Where is Memorial Hospital Of South Bend located?

Memorial Hospital Of South Bend is located at 1215 Lawn Ave Ste 100, Elkhart, IN 46514. The listed phone number is (574) 647-1070.

What is Memorial Hospital Of South Bend's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Memorial Hospital Of South Bend enrolled in Medicare?

Yes. Memorial Hospital Of South Bend is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Memorial Hospital Of South Bend?

According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 12 Medicare specialties reassign their Medicare billing to Memorial Hospital Of South Bend. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Cardiovascular Disease (Cardiology) (5), Interventional Cardiology (5) and Nurse Practitioner (5). Of these, 4 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Memorial Hospital Of South Bend was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 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.