PHILIP RICHARD KAVANAGH DO
NPI 1174600555
Emergency Medicine in South Bend, IN

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
615 N MICHIGAN ST, SOUTH BEND, IN 46601(574) 647-7459(574) 647-3658 Get Directions Write a Review

NPPES record last updated: February 2, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Philip Richard Kavanagh Do NPPES

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

PHILIP RICHARD KAVANAGH DO (NPI 1174600555) is an individual emergency medicine provider in South Bend, Indiana, licensed in Indiana (02002062A) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1995).

NPPES Registry Identity

NPI1174600555
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePHILIP RICHARD KAVANAGHCredential: DO
Location Address615 N MICHIGAN STSouth Bend, IN 46601-1033
Mailing Address3355 Douglas Rd, Suite 300South Bend, IN 46635-1781
Fax(574) 647-3658
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1995
Enumeration DateNovember 1, 2006
Last NPPES UpdateFebruary 2, 2010
NPI 1174600555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IN · 02002062A
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

615 N MICHIGAN ST, South Bend, IN 46601

Other Identifiers 4

Medicaid200252410IN
Medicaid4392339MI
Medicare ID-Type Unspecified941030QQIN · Memorial Hosp - Rendering
Medicare UPINH20027IN

Accepted Insurance

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

Philip Richard Kavanagh Do 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 ID941345086
PECOS Enrollment IDI20100301000767
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.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
193 services189 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
128 services123 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
92 services90 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
21 services21 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Community Hospital Of Bremen Inc

Critical Access Hospitals · Bremen, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151300
Location1020 High RdBremen, IN 46506 · Marshall County
Emergency services

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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
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.

Nurse Practitioner (Women's Health)
615 N MICHIGAN ST
SOUTH BEND, IN 46601
Internal Medicine
615 N MICHIGAN ST, 7TH FLOOR
SOUTH BEND, IN 46601
Pediatrics (Neonatal-Perinatal Medicine)
615 N MICHIGAN ST
SOUTH BEND, IN 46601
Pediatrics (Neonatal-Perinatal Medicine)
615 N MICHIGAN ST
SOUTH BEND, IN 46601
Emergency Medicine
615 N MICHIGAN ST
SOUTH BEND, IN 46601
Emergency Medicine
615 N MICHIGAN ST
SOUTH BEND, IN 46601
Emergency Medicine
615 N MICHIGAN ST
SOUTH BEND, IN 46601
Physical Medicine & Rehabilitation
615 N MICHIGAN ST
SOUTH BEND, IN 46601

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 Philip Kavanagh's NPI number?

The NPI number for Philip Kavanagh is 1174600555. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Philip Kavanagh located?

Philip Kavanagh practices at 615 N Michigan St, South Bend, IN 46601. The listed phone number is (574) 647-7459.

What is Philip Kavanagh's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Philip Kavanagh enrolled in Medicare?

Yes. Philip Kavanagh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Philip Kavanagh accept?

Health plans from CareSource list Philip Kavanagh 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.

Is Philip Kavanagh affiliated with any hospitals?

According to CMS data, Philip Kavanagh is affiliated with Memorial Hospital Of South Bend and Community Hospital Of Bremen Inc.

When was this NPI record last updated?

The NPPES record for Philip Kavanagh was last updated on February 2, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.