DEVELOPMENTAL PEDIATRICS
NPI 1346290103
Pediatrics - Developmental - Behavioral Pediatrics in South Bend, IN
About Developmental Pediatrics NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEVELOPMENTAL PEDIATRICS (NPI 1346290103) is a healthcare organization registered as a developmental - behavioral pediatrics in South Bend, Indiana and active in the NPI registry since May 2006. The organization lists Jeffrey Costello, Vp-cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Developmental Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
734Medicare enrollment records show 734 clinicians reassign Medicare billing to Developmental Pediatrics, which bills Medicare for the services they deliver. Of these, 365 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 45
Nearest to this location (20)
See all 734South Bend, IN 46601
South Bend, IN 46601
South Bend, IN 46601
South Bend, IN 46601
South 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 Health System, Inc.'s NPI number?
The NPI number for Memorial Health System, Inc. is 1346290103. It was assigned to this organization in the NPPES registry on May 11, 2006. The provider is doing business as Developmental Pediatrics.
Where is Memorial Health System, Inc. located?
Memorial Health System, Inc. is located at 809 N Michigan St, South Bend, IN 46601. The listed phone number is (574) 647-7300.
What is Memorial Health System, Inc.'s specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.
Is Memorial Health System, Inc. enrolled in Medicare?
Yes. Memorial Health System, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Memorial Health System, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 734 clinicians in 45 Medicare specialties reassign their Medicare billing to Memorial Health System, Inc.. 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 Nurse Practitioner (188), Family Practice (113) and Certified Registered Nurse Anesthetist (CRNA) (49). Of these, 365 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Memorial Health System, Inc. was last updated on March 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Developmental Pediatrics · NPI 1346290103
Developmental - Behavioral Pediatrics organization in South Bend, Indiana. Organization record, active in the CMS NPPES registry since May 11, 2006.
## Identity
- **NPI:** 1346290103 (Entity type: Organization)
- **Enumerated:** May 11, 2006
- **Primary specialty:** Pediatrics - Developmental - Behavioral Pediatrics · taxonomy 2080P0006X
- **Legal business name:** Memorial Health System, Inc.
- **Organization subpart:** No
- **Authorized official:** Jeffrey Costello, VP-CFO
## Practice location
- **Address:** 809 N MICHIGAN ST, South Bend, IN 46601-1088
- **Phone:** (574) 647-7300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 734 clinicians in 45 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (188), Family Practice (113), Certified Registered Nurse Anesthetist (CRNA) (49); 365 practice within 10 miles; [full list](https://npiprofile.com/npi/1346290103/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 9, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1346290103) · Data from the CMS NPPES public registry.