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JAMES E REIDY M.D.
NPI 1457394934
Family Medicine in Mishawaka, IN

Active since June 13, 2006PECOS Enrolled
303 S MAIN, SUITE 212, MISHAWAKA, IN 46544(574) 254-0800(574) 254-0812 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2019, Apr 1, 2019 (2 updates tracked since 2019).

About James E Reidy M.d. NPPES

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

JAMES E REIDY M.D. (NPI 1457394934) is an individual family medicine provider in Mishawaka, Indiana, licensed in Indiana (01026919) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457394934
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES E REIDYCredential: M.D.
Location Address303 S MAIN, SUITE 212Mishawaka, IN 46544-2160
Mailing Address707 Cedar St Ste 200South Bend, IN 46617-2057 · (574) 335-8707 · Fax (574) 335-0741
Phone(574) 254-0800
Fax(574) 254-0812
Sole ProprietorNo
Enumeration DateJune 13, 2006
Last NPPES UpdateMay 22, 20192 updates tracked since enumeration
✔ NPI 1457394934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01026919
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.
303 S MAIN, Mishawaka, IN 46544
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Other Identifiers 1

Medicaid100221910IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James E Reidy M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show James Reidy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beacon Medical Group, Inc.
2.9 mi
Family Medicine
1815 E IRELAND RD
South Bend, IN 46614
  • Reassigned Medicare billing, Indiana enrollment
  • 734 clinicians in this Medicare group
NPI 1124079330 (574) 647-1700

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46544 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$45.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 James Reidy's NPI number?

The NPI number for James Reidy is 1457394934. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is James Reidy located?

James Reidy practices at 303 S Main Suite 212, Mishawaka, IN 46544. The listed phone number is (574) 254-0800.

What is James Reidy's specialty?

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

Is James Reidy enrolled in Medicare?

Yes. James Reidy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Reidy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Reidy reassigns Medicare benefits to Beacon Medical Group, 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 James Reidy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Reidy accept?

Health plans from CareSource list James Reidy 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 James Reidy was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.