UTHMAN CAVALLO, MD, LLC
NPI 1093152589
Obstetrics & Gynecology in South Bend, IN

Active since May 24, 2013CLIA 15D2020778 · Microscopy
53800 GENERATIONS DR, SOUTH BEND, IN 46635(574) 273-3880(574) 271-0918 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Uthman Cavallo, Md, Llc NPPES

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

UTHMAN CAVALLO, MD, LLC (NPI 1093152589) is a healthcare organization registered as an obstetrics & gynecology in South Bend, Indiana and active in the NPI registry since May 2013. The organization holds a CLIA Microscopy certificate valid through February 27, 2027 and lists Uthman Cavallo, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1093152589
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameUTHMAN CAVALLO, MD, LLC
Location Address53800 GENERATIONS DRSouth Bend, IN 46635-1543
Mailing Address53800 Generations DrSouth Bend, IN 46635-1543 · (574) 273-3880 · Fax (574) 271-0918
Fax(574) 271-0918
Organization SubpartNo
Authorized OfficialUthman CavalloOwner/president · (574) 273-3880
Enumeration DateMay 24, 2013
Last NPPES UpdateSeptember 23, 2016
NPI 1093152589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
53800 GENERATIONS DR, South Bend, IN 46635

Other Identifiers 1

Medicaid201213380AIN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D2020778
Facility Type
Physician Office
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
UTHMAN CAVALLO
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Uthman Cavallo, Md, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Nurse Practitioner
53800 GENERATIONS DR
SOUTH BEND, IN 46635
Nurse Practitioner
53800 GENERATIONS DR
SOUTH BEND, IN 46635
Obstetrics & Gynecology
53800 GENERATIONS DR
SOUTH BEND, IN 46635
Nurse Practitioner
53800 GENERATIONS DR
SOUTH BEND, IN 46635

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093152589, enumerated as an "organization" on May 24, 2013.

The provider is located at 53800 GENERATIONS DR SOUTH BEND, IN 46635 and the phone number is (574) 273-3880.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.