MEMORIAL HOSPITAL OF SOUTH BEND
NPI 1295772093
General Acute Care Hospital in South Bend, IN
About Memorial Hospital Of South Bend NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEMORIAL HOSPITAL OF SOUTH BEND (NPI 1295772093) is a healthcare organization registered as a general acute care hospital in South Bend, Indiana and active in the NPI registry since June 2006. The organization maintains a secondary practice location in South Bend and lists Jeffrey Costello, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 14
Secondary Practice Location 1
Other Identifiers 7
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Memorial Hospital Of South Bend is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
33Medicare enrollment records show 33 clinicians reassign Medicare billing to Memorial Hospital Of South Bend, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 12
Nearest to this location (20)
See all 33South Bend, IN 46601
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Memorial Hospital Of South Bend's NPI number?
The NPI number for Memorial Hospital Of South Bend is 1295772093. It was assigned to this organization in the NPPES registry on June 1, 2006.
Where is Memorial Hospital Of South Bend located?
Memorial Hospital Of South Bend is located at 615 N Michigan St, South Bend, IN 46601. The listed phone number is (574) 647-1000.
What is Memorial Hospital Of South Bend's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.
Is Memorial Hospital Of South Bend enrolled in Medicare?
Yes. Memorial Hospital Of South Bend is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Memorial Hospital Of South Bend?
According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 12 Medicare specialties reassign their Medicare billing to Memorial Hospital Of South Bend. A 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 the clinician's services. The largest specialties are Cardiovascular Disease (Cardiology) (5), Interventional Cardiology (5) and Nurse Practitioner (5). Of these, 6 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Memorial Hospital Of South Bend accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Memorial Hospital Of South Bend 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 Memorial Hospital Of South Bend was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Memorial Hospital Of South Bend · NPI 1295772093
General Acute Care Hospital organization in South Bend, Indiana. Organization record, active in the CMS NPPES registry since June 1, 2006.
## Identity
- **NPI:** 1295772093 (Entity type: Organization)
- **Enumerated:** June 1, 2006
- **Primary specialty:** General Acute Care Hospital · taxonomy 282N00000X
- **Organization subpart:** No
- **Authorized official:** Jeffrey Costello, CFO
## Practice location
- **Address:** 615 N MICHIGAN ST, South Bend, IN 46601-1033
- **Phone:** (574) 647-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 33 clinicians in 12 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (5), Interventional Cardiology (5), Nurse Practitioner (5); 6 practice at this address and 22 within 10 miles; [full list](https://npiprofile.com/npi/1295772093/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 14, 2026
- **Other identifiers:** Medicaid 100239890A (IN); Medicaid 200378380A (IN); Medicaid 100269890B (IN); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1295772093) · Data from the CMS NPPES public registry.