Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SOUTH BEND MEDICAL FOUNDATION, INC
NPI 1649241084
Pathology - Anatomic Pathology & Clinical Pathology in South Bend, IN

Active since February 01, 2006CLIA Certified · 2 labs
3355 DOUGLAS RD, SOUTH BEND, IN 46635(574) 234-4176 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 16, 2026, Dec 5, 2023, Oct 1, 2019 and 1 more (4 updates tracked since 2017).

About South Bend Medical Foundation, Inc NPPES

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

SOUTH BEND MEDICAL FOUNDATION, INC (NPI 1649241084) is a healthcare organization registered as an anatomic pathology & clinical pathology in South Bend, Indiana and active in the NPI registry since February 2006. The organization holds 2 active CLIA laboratory certificates and lists Terry Pipp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1649241084
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameSOUTH BEND MEDICAL FOUNDATION, INC
Location Address3355 DOUGLAS RDSouth Bend, IN 46635-1779
Mailing AddressPo Box 11957Fort Wayne, IN 46862-1957 · (800) 288-8325 · Fax (419) 866-5453
Organization SubpartNo
Authorized OfficialTerry PippCfo · (574) 234-7176
Enumeration DateFebruary 1, 2006
Last NPPES UpdateJuly 16, 20264 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
NPI 1649241084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
3355 DOUGLAS RD, South Bend, IN 46635

Other Identifiers 6

Medicaid100112700AIN
Medicaid169513624MI
Other000000097080Anthem
Other1H1003494Tricare
Other690164004Railroad Medicare
OtherCB4553Railroad Medicare

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 of Accreditation 15D0357169

South Bend Medical Foundation · South Bend, IN
Active · expires Feb 8, 2027
CLIA Number15D0357169
Laboratory TypeIndependent
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Nita R. Gerig
Laboratory Phone(574) 204-4295
Laboratory LocationSouth Bend Medical Foundation3355 Douglas Rd, South Bend, IN 46635
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Compliance 15D0977972

South Bend Medical Foundation/ Fcl-Allied Physician · South Bend, IN
Active · expires Sep 12, 2027
CLIA Number15D0977972
Laboratory TypeIndependent
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorOdeta Lapkus
Laboratory Phone(574) 204-4295
Laboratory LocationSouth Bend Medical Foundation/ Fcl-Allied Physician53990 Carmichael Dr Suite 200, South Bend, IN 46635
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
5,091 services3,036 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
511 services146 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
361 services290 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
251 services235 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
140 services59 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
111 services74 patients

Other Providers at the Same Location NPPES 11

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

Pharmacist
3355 DOUGLAS RD
SOUTH BEND, IN 46635
Pharmacist
3355 DOUGLAS RD
SOUTH BEND, IN 46635
Durable Medical Equipment & Medical Supplies
3355 DOUGLAS RD
SOUTH BEND, IN 46635
Durable Medical Equipment & Medical Supplies
3355 DOUGLAS RD
SOUTH BEND, IN 46635
Pharmacy (Home Infusion Therapy Pharmacy)
3355 DOUGLAS RD
SOUTH BEND, IN 46635
Respite Care
3355 DOUGLAS RD
SOUTH BEND, IN 46635
Home Infusion
3355 DOUGLAS RD
SOUTH BEND, IN 46635
Pathology (Anatomic Pathology & Clinical Pathology)
3355 DOUGLAS RD
SOUTH BEND, IN 46635

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649241084, enumerated as an "organization" on February 01, 2006.

The provider is located at 3355 DOUGLAS RD SOUTH BEND, IN 46635 and the phone number is (574) 234-4176.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.