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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: November 01, 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, 2028 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
Phone(574) 239-4602
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Family Medicine Of South Bend Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Family Medicine Of South Bend PC, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Ilana Kirsch, M.D.
Obstetrics/Gynecology
NPI 1508857806
6301 UNIVERSITY COMMONS STE 210
South Bend, IN 46635
(574) 234-4016
✔ PECOS✔ Accepts Medicare3.7 mi
Kari Sears, MD
Family Practice
NPI 1548556111
6301 UNIVERSITY COMMONS SUITE 210
South Bend, IN 46635
(574) 234-4016
✔ PECOS✔ Accepts Medicare3.7 mi
Natalie Frentz, MD
Family Practice
NPI 1194941708
6301 UNIVERSITY COMMONS
South Bend, IN 46635
(574) 234-4016
✔ PECOS✔ Accepts Medicare3.7 mi
Rebecca Hendricks, MD
Family Practice
NPI 1740910959
6301 UNIVERSITY COMMONS STE 210
South Bend, IN 46635
(574) 234-4016
✔ PECOS✔ Accepts Medicare3.7 mi
Brian Jacobs, MD
Family Practice
NPI 1437240694
6301 UNIVERSITY COMMONS STE 210
South Bend, IN 46635
(574) 234-4016
✔ PECOS✔ Accepts Medicare3.7 mi
John Jacobs, MD
Family Practice
NPI 1881785046
6301 UNIVERSITY COMMONS STE 210
South Bend, IN 46635
(574) 234-4016
✔ PECOS✔ Accepts Medicare3.7 mi
Frederick Scheel, MD
Family Practice
NPI 1801987003
6301 UNIVERSITY COMMONS STE 210
South Bend, IN 46635
(574) 234-4016
✔ PECOS✔ Accepts Medicare3.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, 2028
CLIA Number15D0357123
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
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.

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 Family Medicine Of South Bend PC's NPI number?

The NPI number for Family Medicine Of South Bend PC is 1356432538. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Family Medicine Of South Bend PC located?

Family Medicine Of South Bend PC is located at 610 N Michigan Street Suite 308, South Bend, IN 46601. The listed phone number is (574) 239-4602.

What is Family Medicine Of South Bend PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Family Medicine Of South Bend PC enrolled in Medicare?

Yes. Family Medicine Of South Bend PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Medicine Of South Bend PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Family Medicine Of South Bend PC. 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 Family Practice (6) and Obstetrics/Gynecology (1). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Medicine Of South Bend PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D0357123) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Medicine Of South Bend PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Family Medicine Of South Bend PC 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 Family Medicine Of South Bend PC was last updated on July 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.