PHILIP RICHARD KAVANAGH DO
NPI 1174600555
Emergency Medicine in South Bend, IN
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
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Philip Kavanagh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Bend, IN 46601
- Reassigned Medicare billing, Indiana enrollment
- 69 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, INCommunity Hospital Of Bremen Inc
Critical Access Hospitals · Bremen, INPhysician 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.
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.
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
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.
Which organization bills Medicare for Philip Kavanagh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Kavanagh reassigns Medicare benefits to South Bend Emergency Physicians, Inc (South Bend, IN). The 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 Philip Kavanagh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.
# Philip Richard Kavanagh, DO · NPI 1174600555
Emergency Medicine physician in South Bend, Indiana. Individual provider, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1174600555 (Entity type: Individual)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 02002062A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 615 N MICHIGAN ST, South Bend, IN 46601-1033
- **Phone:** (574) 647-7459 · **Fax:** (574) 647-3658
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** South Bend Emergency Physicians, Inc (NPI 1487132114, South Bend, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Midwestern University, Chicago College Of Osteopathic Med, class of 1995
## Record status
- **NPPES last updated:** February 2, 2010
- **Other identifiers:** Medicaid 200252410 (IN); Medicaid 4392339 (MI); Medicare ID-Type Unspecified 941030QQ (IN); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1174600555) · Data from the CMS NPPES public registry.