THE SOUTH BEND CLINIC, LLC
NPI 1487307492
Anesthesiology in South Bend, IN
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
Specialties & Licenses
Group Practice 1
Accepted 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)
The South Bend Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
211Medicare enrollment records show 211 clinicians reassign Medicare billing to The South Bend Clinic, LLC, which bills Medicare for the services they deliver. Of these, 47 practice at this address and 124 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 33
Nearest to this location (20)
See all 211Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 LLCAccepts 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.
Medicare Product Categories
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.
Is The South Bend Clinic, LLC enrolled in Medicare?
Yes. The South Bend Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The South Bend Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 211 clinicians in 33 Medicare specialties reassign their Medicare billing to The South Bend Clinic, LLC. 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 Diagnostic Radiology (37), Nurse Practitioner (34) and Family Practice (25). Of these, 47 practice at this address and 124 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
What insurance does The South Bend Clinic, LLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list The South Bend Clinic, LLC 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 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.
# The South Bend Clinic, Llc · NPI 1487307492
Anesthesiology organization in South Bend, Indiana. Organization record, active in the CMS NPPES registry since January 31, 2022.
## Identity
- **NPI:** 1487307492 (Entity type: Organization)
- **Enumerated:** January 31, 2022
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **Organization subpart:** No
- **Authorized official:** Kelly Macken-Marble, CEO
## Practice location
- **Address:** 211 N EDDY ST, South Bend, IN 46617-3096
- **Phone:** (574) 239-1567
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 211 clinicians in 33 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (37), Nurse Practitioner (34), Family Practice (25); 47 practice at this address and 124 within 10 miles; [full list](https://npiprofile.com/npi/1487307492/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1487307492) · Data from the CMS NPPES public registry.