THE SOUTH BEND CLINIC, LLC
NPI 1487307492
Anesthesiology in South Bend, IN

Active since January 31, 2022
211 N EDDY ST, SOUTH BEND, IN 46617(574) 239-1567 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2022, Jan 31, 2022 (2 updates tracked since 2022).

About The South Bend Clinic, Llc NPPES

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

THE SOUTH BEND CLINIC, LLC (NPI 1487307492) is a healthcare organization registered as an anesthesiology in South Bend, Indiana and active in the NPI registry since January 2022. The organization lists Kelly Macken-marble, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487307492
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameTHE SOUTH BEND CLINIC, LLC
Location Address211 N EDDY STSouth Bend, IN 46617-3096
Mailing Address211 N Eddy StSouth Bend, IN 46617-3096 · (574) 239-1567
Organization SubpartNo
Authorized OfficialKelly Macken-marbleCeo · (574) 239-1567
Enumeration DateJanuary 31, 2022
Last NPPES UpdateMarch 7, 20222 updates tracked since enumeration
NPPES CertifiedMarch 7, 2022
NPI 1487307492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
211 N EDDY ST, South Bend, IN 46617

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

Medical Equipment Supplier Medicare DMEPOS 26

Medicare supplier enrollment and the product categories South Bend Clinic carries, from the Medicare DMEPOS supplier directory.

South Bend Clinic

DMEPOS supplier · South Bend, INOperated by The South Bend Clinic LLC

Accepts Medicare assignment

South Bend Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20632367
Medicare Participant SinceDecember 1, 1999
Supplier Location211 N Eddy StSouth Bend, IN 46617
Provider TypeMulti-Specialty - Physician
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
211 N EDDY ST
SOUTH BEND, IN 46617
Internal Medicine
211 N EDDY ST
SOUTH BEND, IN 46617
Dietitian, Registered
211 N EDDY ST
SOUTH BEND, IN 46617
Family Medicine
211 N EDDY ST
SOUTH BEND, IN 46617
Nurse Practitioner (Family)
211 N EDDY ST
SOUTH BEND, IN 46617
Ophthalmology
211 N EDDY ST
SOUTH BEND, IN 46617
Radiology (Diagnostic Radiology)
211 N EDDY ST
SOUTH BEND, IN 46617
Physician Assistant
211 N EDDY ST
SOUTH BEND, IN 46617

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 The South Bend Clinic, LLC's NPI number?

The NPI number for The South Bend Clinic, LLC is 1487307492. It was assigned to this organization in the NPPES registry on January 31, 2022.

Where is The South Bend Clinic, LLC located?

The South Bend Clinic, LLC is located at 211 N Eddy St, South Bend, IN 46617. The listed phone number is (574) 239-1567.

What is The South Bend Clinic, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Does The South Bend Clinic, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, South Bend Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for The South Bend Clinic, LLC was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.