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HAIDONG BAO M.D.
NPI 1578723573
Internal Medicine in South Bend, IN

Active since June 12, 2008PECOS EnrolledAccepts Medicare Assignment
615 N MICHIGAN ST FL 1, SOUTH BEND, IN 46601(574) 647-3050(574) 647-1094 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 30, 2026, Mar 30, 2021, Feb 28, 2019 and 1 more (4 updates tracked since 2017).

About Haidong Bao M.d. NPPES

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

HAIDONG BAO M.D. (NPI 1578723573) is an individual internal medicine provider in South Bend, Indiana, licensed in Indiana (01068048A) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and maintains a secondary practice location in Elkhart.

NPPES Registry Identity

NPI1578723573
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHAIDONG BAOCredential: M.D.
Location Address615 N MICHIGAN ST FL 1South Bend, IN 46601-1033
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-3725
Phone(574) 647-3050
Fax(574) 647-1094
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 12, 2008
Last NPPES UpdateMarch 30, 20264 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1578723573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01068048A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 01068048A (IN)
615 N MICHIGAN ST FL 1, South Bend, IN 46601
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Secondary Practice Location 1

Location 1600 East Blvd 4th Floor Hospitalists SteElkhart, IN 46514-2483 · Phone (574) 389-7393 · Fax (574) 647-1094

Other Identifiers 1

Medicaid200984290IN

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Haidong Bao M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183758287
PECOS Enrollment IDI20100811000415
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 Reassignments

2

Medicare enrollment records show Haidong Bao reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beacon Medical Group, Inc.
0.1 mi
Psychiatry
707 N MICHIGAN ST STE 400
South Bend, IN 46601
  • Reassigned Medicare billing, Indiana enrollment
  • 734 clinicians in this Medicare group
NPI 1629376645 (574) 647-8470
Sound Physicians Of Indiana, LLC
3.6 mi
Hospitalist
215 W 4TH ST, # 200
Mishawaka, IN 46544
  • Reassigned Medicare billing, Indiana enrollment
  • 384 clinicians in this Medicare group
NPI 1356687164 (574) 252-2000

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
532 services199 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
334 services131 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
181 services172 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
135 services128 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
21 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$17.61 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$6.29 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$91.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

DR. STACEY JOHNSTON MD
Hospitalist
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050
PATRICIA C OSMOLAK M.D.
Internal Medicine
615 N MICHIGAN ST FL 1, 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050
REBECCA S. BYERS NP
Nurse Practitioner (Neonatal)
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050
KIRK JON BODACH MD
Hospitalist
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050
DR. IBRAHIM HUSSEIN ALI LAFI MD
Psychiatry & Neurology (Neurology)
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050
CHARLES YI
Internal Medicine
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050
DR. JONATHAN YOUNG JI M.D.
Psychiatry & Neurology (Neurology)
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1610
KATRINA GREGG
Nurse Practitioner (Family)
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1100

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 Haidong Bao's NPI number?

The NPI number for Haidong Bao is 1578723573. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Haidong Bao located?

Haidong Bao practices at 615 N Michigan St Fl 1, South Bend, IN 46601. The listed phone number is (574) 647-3050.

What is Haidong Bao's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Haidong Bao enrolled in Medicare?

Yes. Haidong Bao is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Haidong Bao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haidong Bao reassigns Medicare benefits to 2 organizations: Beacon Medical Group, Inc. (South Bend, IN) and Sound Physicians Of Indiana, LLC (Mishawaka, IN). Each 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 Haidong Bao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Haidong Bao accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Haidong Bao 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.

Is Haidong Bao affiliated with any hospitals?

According to CMS data, Haidong Bao is affiliated with Memorial Hospital Of South Bend.

When was this NPI record last updated?

The NPPES record for Haidong Bao was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.