FAMILY MEDICINE OF SOUTH BEND PC
NPI 1356432538
Family Medicine in South Bend, IN

Active since September 27, 2006CLIA 15D0357123 · Microscopy
610 N MICHIGAN STREET, SUITE 308, SOUTH BEND, IN 46601(574) 239-4602(574) 239-4607 Get Directions Write a Review

NPPES record last updated: July 9, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Family Medicine Of South Bend Pc NPPES

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

FAMILY MEDICINE OF SOUTH BEND PC (NPI 1356432538) is a healthcare organization registered as a family medicine in South Bend, Indiana and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Ana S Cardenas, President, as its authorized official.

NPPES Registry Identity

NPI1356432538
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY MEDICINE OF SOUTH BEND PC
Location Address610 N MICHIGAN STREET, SUITE 308South Bend, IN 46601
Mailing Address610 N Michigan Street, Suite 308South Bend, IN 46601 · (574) 239-4602 · Fax (574) 251-2095
Fax(574) 239-4607
Organization SubpartNo
Authorized OfficialAna S CardenasPresident · (574) 239-4602
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 9, 2008
NPI 1356432538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

610 N MICHIGAN STREET, South Bend, IN 46601

Other Identifiers 2

Medicaid100090560AIN
Medicare PIN163500

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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 for Provider-Performed Microscopy Procedures (PPMP) 15D0357123

Family Medicine Of South Bend · South Bend, IN
Active · expires Aug 31, 2026
CLIA Number15D0357123
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJohn M. Jacobs
Laboratory Phone(574) 234-4016
Laboratory LocationFamily Medicine Of South Bend6301 University Commons, Ste 210, South Bend, IN 46635
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
610 N MICHIGAN STREET, SUITE 308
SOUTH BEND, IN 46601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356432538, enumerated as an "organization" on September 27, 2006.

The provider is located at 610 N MICHIGAN STREET SUITE 308 SOUTH BEND, IN 46601 and the phone number is (574) 239-4602.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.