PRIMARY CARE PARTNERS OF SOUTH BEND
NPI 1497399927
Family Medicine in South Bend, IN

Active since October 28, 2019CLIA 15D2182052 · Microscopy
300 S SAINT LOUIS BLVD STE 204, SOUTH BEND, IN 46617(574) 251-1200(574) 251-1230 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2020, Oct 28, 2019 (2 updates tracked since 2019).

About Primary Care Partners Of South Bend NPPES

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

PRIMARY CARE PARTNERS OF SOUTH BEND (NPI 1497399927) is a healthcare organization registered as a family medicine in South Bend, Indiana and active in the NPI registry since October 2019. The organization holds a CLIA Microscopy certificate valid through April 14, 2028 and lists Brandon Zabukovic, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1497399927
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIMARY CARE PARTNERS OF SOUTH BEND
Location Address300 S SAINT LOUIS BLVD STE 204South Bend, IN 46617-3044
Mailing Address300 S Saint Louis Blvd Ste 204South Bend, IN 46617-3044 · (574) 251-1200 · Fax (574) 251-1230
Fax(574) 251-1230
Organization SubpartNo
Authorized OfficialBrandon ZabukovicManaging Member · (574) 274-9425
Enumeration DateOctober 28, 2019
Last NPPES UpdateJuly 10, 20202 updates tracked since enumeration
NPPES CertifiedJuly 10, 2020
✔ NPI 1497399927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedPediatricsTaxonomy 208000000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
300 S SAINT LOUIS BLVD STE 204, South Bend, IN 46617

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Primary Care Partners Of South Bend is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Primary Care Partners Of South Bend, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Family Practice
NPI 1326627258
300 S SAINT LOUIS BLVD STE 204
South Bend, IN 46617
(574) 251-1200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144479460
621 MEMORIAL DR STE 402
South Bend, IN 46601
(574) 400-4550
✔ PECOS✔ Accepts Medicare0.9 mi
Pediatric Medicine
NPI 1659402220
621 MEMORIAL DR STE 402
South Bend, IN 46601
(574) 400-4550
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1881018729
621 MEMORIAL DR STE 402
South Bend, IN 46601
(574) 400-4550
✔ PECOS✔ Accepts Medicare0.9 mi
Family Practice
NPI 1710962915
621 MEMORIAL DR STE 402
South Bend, IN 46601
(574) 400-4550
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1740170661
300 S SAINT LOUIS BLVD STE 204
South Bend, IN 46617
(574) 251-1200
✔ PECOS✔ Accepts Medicare3.3 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) 15D2182052

Primary Care Partners Of South Bend, LLC · South Bend, IN
Active · expires Apr 14, 2028
CLIA Number15D2182052
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorBrandon W. Zabukovic
Laboratory Phone(574) 251-1200
Laboratory LocationPrimary Care Partners Of South Bend, LLC300 S St Louis Blvd, Suite 204, South Bend, IN 46617
CLIA data matches this NPI record on: Name Phone
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 Primary Care Partners Of South Bend's NPI number?

The NPI number for Primary Care Partners Of South Bend is 1497399927. It was assigned to this organization in the NPPES registry on October 28, 2019.

Where is Primary Care Partners Of South Bend located?

Primary Care Partners Of South Bend is located at 300 S Saint Louis Blvd Ste 204, South Bend, IN 46617. The listed phone number is (574) 251-1200.

What is Primary Care Partners Of South Bend's specialty?

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

Is Primary Care Partners Of South Bend enrolled in Medicare?

Yes. Primary Care Partners Of South Bend is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Primary Care Partners Of South Bend?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Primary Care Partners Of South Bend. 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 Nurse Practitioner (3), Family Practice (2) and Pediatric Medicine (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Primary Care Partners Of South Bend hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D2182052) is associated with this NPI, valid through April 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primary Care Partners Of South Bend accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Primary Care Partners Of South Bend 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 Primary Care Partners Of South Bend was last updated on July 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.