SOUTH BEND CLINIC
NPI 1073680419
Clinic/Center in South Bend, IN

Q: What is The South Bend Clinic LLC's NPI number?

The NPI number for The South Bend Clinic LLC is 1073680419. It was assigned to this organization in the NPPES registry on November 29, 2006. The provider is also known as South Bend Clinic.

Q: What is The South Bend Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since November 29, 2006CLIA Certified · 5 labs

211 N EDDY ST, SOUTH BEND, IN 46617(574) 299-2450(574) 299-2415 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2024, Sep 19, 2016, Jun 16, 2016 (3 updates tracked since 2016).

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About South Bend Clinic NPPES

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

SOUTH BEND CLINIC (NPI 1073680419) is a healthcare organization registered as a clinic/center in South Bend, Indiana and active in the NPI registry since November 2006. The organization holds 5 active CLIA laboratory certificates, maintains a secondary practice location in South Bend, and lists Paul J Meyer, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1073680419

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameTHE SOUTH BEND CLINIC LLC

Location Address211 N EDDY STSouth Bend, IN 46617-2808

Mailing Address6301 University Commons Ste 230South Bend, IN 46635-1590 · (574) 251-2115 · Fax (574) 251-2150

Phone(574) 299-2450

Fax(574) 299-2415

Organization SubpartNo

Authorized OfficialPaul J MeyerExecutive Director · (574) 237-9201

Enumeration DateNovember 29, 2006

Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration

NPPES CertifiedJuly 10, 2024

✔ NPI 1073680419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 15D0357414 (IN)

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

211 N EDDY ST, South Bend, IN 46617

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Other Names 1

Other NameSouth Bend Clinic

Secondary Practice Location 1

Location 16301 University Commons Ste 230South Bend, IN 46635-1590 · Phone (574) 251-2115 · Fax (574) 251-2150

Other Identifiers 1

Medicaid100442630IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D1106971

South Bend Clinic Surgicenter The · South Bend, IN

Active · expires Oct 25, 2027

CLIA Number15D1106971

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 26, 2025

Certificate Expiration DateOctober 25, 2027

Laboratory DirectorAlfredo Casetti

Laboratory Phone(574) 237-9372

Laboratory LocationSouth Bend Clinic Surgicenter The211 N Eddy St, South Bend, IN 46617

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D2240222

South Bend Clinic - Eddy Street · South Bend, IN

Active · expires Oct 17, 2027

CLIA Number15D2240222

Laboratory TypePhysician Office

Certificate Effective DateOctober 18, 2025

Certificate Expiration DateOctober 17, 2027

Laboratory DirectorLouis Cavadini

Laboratory Phone(574) 204-7613

Laboratory LocationSouth Bend Clinic - Eddy Street211 N Eddy St, South Bend, IN 46617

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Compliance 15D0681940

South Bend Clinic LLC Dmg/ Dermatology · South Bend, IN

Active · expires Sep 15, 2026

CLIA Number15D0681940

Laboratory TypePhysician Office

Certificate Effective DateSeptember 16, 2024

Certificate Expiration DateSeptember 15, 2026

Laboratory DirectorDr. Holly H. Harris

Laboratory Phone(574) 204-7613

Laboratory LocationSouth Bend Clinic LLC Dmg/ Dermatology211 N Eddy St, South Bend, IN 46617

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 15D2002931

South Bend Clinic, LLP Dba, The Pediatric Associates Of Michiana · South Bend, IN

Active · expires Jan 27, 2028

CLIA Number15D2002931

Laboratory TypePhysician Office

Certificate Effective DateJanuary 28, 2026

Certificate Expiration DateJanuary 27, 2028

Laboratory DirectorZiya D. Toper

Laboratory Phone(574) 239-1400

Laboratory LocationSouth Bend Clinic, LLP Dba, The Pediatric Associates Of Michiana6301 University Commons Ste 320, South Bend, IN 46635

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D0357399

South Bend Clinic, LLP, The Dba Ob Gyn Assoc Of Northern In · South Bend, IN

Active · expires Oct 1, 2027

CLIA Number15D0357399

Laboratory TypePhysician Office

Certificate Effective DateOctober 2, 2025

Certificate Expiration DateOctober 1, 2027

Laboratory DirectorSara Baumgartner

Laboratory Phone(574) 204-7613

Laboratory LocationSouth Bend Clinic, LLP, The Dba Ob Gyn Assoc Of Northern In6301 University Commons, Ste 310, South Bend, IN 46635

CLIA data matches this NPI record on: Name

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

120 services76 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

115 services115 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

98 services69 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

89 services89 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

79 services63 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

57 services57 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

49 services49 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

47 services47 patients

Repair of groin hernia (5 years or older) 49505

Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.

32 services32 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

28 services18 patients

Removal of nasal air passage under lining tissue 30140

This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.

27 services17 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

24 services24 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

22 services22 patients

Biopsy of lining of uterus and/or removal of polyp using an endoscope 58558

This procedure involves using a thin, flexible tool (endoscope) to examine and possibly remove a small tissue sample from the inner layer of your uterus. It may also involve removing a growth. It helps to identify any issues and plan the right treatment.

19 services19 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

18 services17 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

17 services17 patients

Reshaping of nasal cartilage 30520

Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.

15 services15 patients

Insertion of central venous tube with port (5 years or older) 36561

A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.

14 services14 patients

Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin 0275T

This procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.

13 services13 patients

Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less 15260

A full thickness skin graft is a procedure where a layer of skin is taken from one area of the body and transplanted to another. If it's done on the nose, ears, eyelids, or lips, it helps restore these areas when damaged. The size of the graft is 20.0 sq cm or less.

13 services13 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

13 services13 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope 29828

This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.

13 services13 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

11 services11 patients

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.

AUTUMN MARIE HANNA PA

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