SOUTH BEND ORTHOPAEDICS
NPI 1629580758
Prosthetic/Orthotic Supplier in South Bend, IN

NPI Status: Active since October 30, 2017

Contact Information

53880 CARMICHAEL DR
SOUTH BEND, IN
ZIP 46635
Phone: (574) 247-9441
Fax: (574) 247-9442

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Secondary Locations
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Prosthetic/Orthotic Supplier
Accepts Insurance

About SOUTH BEND ORTHOPAEDICS

This page provides the complete NPI Profile along with additional information for South Bend Orthopaedics, a provider established in South Bend, Indiana operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1629580758 assigned on October 2017. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as South Bend Orthopaedics. The authorized official of this NPI record is Jacqueline A Kerwin (Cfo)

NPI: 1629580758
Provider Legal Name: ASCENDANT ORTHOPEDIC ALLIANCE, LLC
Other Organization Name: SOUTH BEND ORTHOPAEDICS
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 53880 CARMICHAEL DR SOUTH BEND, IN 46635
Location Phone: (574) 247-9441
Location Fax: (574) 247-9442
Mailing Address: 53880 CARMICHAEL DR SOUTH BEND, IN 46635
Mailing Phone: (574) 247-9441
Mailing Fax: (574) 247-9442
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-30-2017
Last Update Date: 05-20-2019
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Location Map

Secondary Locations

2349 Lake Ave Ste 201
Plymouth, IN 46563
(574) 247-9441

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Prosthetic/Orthotic Supplier
Taxonomy Code: 335E00000X
Type: Suppliers
Taxonomy Description: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Ambetter from Buckeye Health Plan

Choice Bronze HSA - HMO
Choice Bronze HSA + Vision + Adult Dental - HMO
Clear Gold - HMO
Clear Gold + Vision + Adult Dental - HMO
Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Complete Silver - HMO
Complete Silver + Vision + Adult Dental - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Standard Expanded Bronze - HMO
Standard Expanded Bronze + Vision + Adult Dental - HMO
Standard Gold - HMO
Standard Gold + Vision + Adult Dental - HMO
Standard Silver - HMO
Standard Silver + Vision + Adult Dental - HMO

Ambetter from Meridian

Clear Silver - HMO
Elite Gold - HMO
Elite Gold + Vision + Adult Dental - HMO
Everyday Gold - HMO
Everyday Gold + Vision + Adult Dental - HMO
Standard Gold - HMO
Standard Gold + Vision + Adult Dental - HMO
Standard Silver - HMO
Standard Silver + Vision + Adult Dental - HMO

Ambetter Health

Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Elite Gold - HMO
Elite Gold + Vision + Adult Dental - HMO
Focused Silver - HMO
Focused Silver + Vision + Adult Dental - HMO
Standard Gold - HMO
Standard Gold + Vision + Adult Dental - HMO
Standard Silver - HMO
Standard Silver + Vision + Adult Dental - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: JACQUELINE A KERWIN
Authorized Official Title: CFO
Authorized Official Phone: (574) 206-8069

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629580758, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 4

Pos 4

Unchanged

Pos 5

Doubled → 10 → 1 + 0

Pos 6

Unchanged

Pos 7

Doubled → 0

Pos 8

Unchanged

Pos 9

Doubled → 10 → 1 + 0

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 5 → 10 → 1 0 → 0 5 → 10 → 1