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MICHIANA ADULT MEDICAL SPECIALISTS
NPI 1154663763
Internal Medicine - Geriatric Medicine in South Bend, IN

Active since March 21, 2013CLIA 15D2058128 · Certificate of Compliance
2050 E IRELAND RD, SOUTH BEND, IN 46614(574) 222-2359(574) 222-2365 Get Directions Write a Review

NPPES record last updated: October 1, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michiana Adult Medical Specialists NPPES

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

MICHIANA ADULT MEDICAL SPECIALISTS (NPI 1154663763) is a healthcare organization registered as a geriatric medicine in South Bend, Indiana and active in the NPI registry since March 2013. The organization holds a CLIA Certificate of Compliance certificate valid through March 23, 2028 and lists Alexander C. Gatzimos, Manager, as its authorized official.

NPPES Registry Identity

NPI1154663763
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameALEXANDER C. GATZIMOS MD JD
Location Address2050 E IRELAND RDSouth Bend, IN 46614-2909
Mailing Address2050 E Ireland RdSouth Bend, IN 46614-2909 · (574) 222-2359 · Fax (574) 222-2365
Phone(574) 222-2359
Fax(574) 222-2365
Organization SubpartNo
Authorized OfficialAlexander C. GatzimosManager · (574) 249-8663
Enumeration DateMarch 21, 2013
Last NPPES UpdateOctober 1, 2013
✔ NPI 1154663763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in IN · 01036818A
Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

2050 E IRELAND RD, South Bend, IN 46614
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Other Names 1

Doing Business AsMichiana Adult Medical Specialists

Other Identifiers 2

MedicaidD95574IN
Medicare UPINDP5574IN

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

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

CLIA Laboratory Certificates CMS CLIA

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 Compliance 15D2058128

Michiana Adult Medical Specialists · Mishawaka, IN
Active · expires Mar 23, 2028
CLIA Number15D2058128
Laboratory TypePhysician Office
Certificate Effective DateMarch 24, 2026
Certificate Expiration DateMarch 23, 2028
Laboratory DirectorAlexander C. Gatzimos
Laboratory Phone(574) 222-2359
Laboratory LocationMichiana Adult Medical Specialists212 W Edison Rd, Ste B, Mishawaka, IN 46545
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Alexander C. Gatzimos MD Jd's NPI number?

The NPI number for Alexander C. Gatzimos MD Jd is 1154663763. It was assigned to this organization in the NPPES registry on March 21, 2013. The provider is doing business as Michiana Adult Medical Specialists.

Where is Alexander C. Gatzimos MD Jd located?

Alexander C. Gatzimos MD Jd is located at 2050 E Ireland Rd, South Bend, IN 46614. The listed phone number is (574) 222-2359.

What is Alexander C. Gatzimos MD Jd's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Does Alexander C. Gatzimos MD Jd hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 15D2058128) is associated with this NPI, valid through March 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Alexander C. Gatzimos MD Jd accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Alexander C. Gatzimos MD Jd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexander C. Gatzimos MD Jd was last updated on October 1, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.