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DR. SUSAN R HART-CAVALLO MD
NPI 1649261710
Internal Medicine in South Bend, IN

Active since October 28, 2005Opted out of Medicare · through Mar 5, 2027
720 CEDAR ST, SUITE 400, SOUTH BEND, IN 46617(574) 232-3327(574) 232-3369 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Susan R Hart-cavallo Md NPPES

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

DR. SUSAN R HART-CAVALLO MD (NPI 1649261710) is an individual internal medicine provider in South Bend, Indiana, licensed in Indiana (01055451A) and active in the NPI registry since October 2005. She has opted out of Medicare through March 5, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649261710
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUSAN R HART-CAVALLOCredential: MD
Location Address720 CEDAR ST, SUITE 400South Bend, IN 46617-2060
Mailing Address53800 Generations DrSouth Bend, IN 46635-1543 · (574) 273-3880 · Fax (574) 271-0918
Phone(574) 232-3327
Fax(574) 232-3369
Sole ProprietorYes
Enumeration DateOctober 28, 2005
Last NPPES UpdateNovember 17, 2016
✔ NPI 1649261710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01055451A
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.
720 CEDAR ST, South Bend, IN 46617
Open in Google Maps ↗

Other Identifiers 3

Medicaid200372550IN
Medicare UPINH61195IN
Medicare ID-Type Unspecified146470KKKKIN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Susan R Hart-cavallo Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 5, 2013 through March 5, 2027.

Opt-Out Effective DateMarch 5, 2013
Opt-Out In Effect ThroughMarch 5, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46617 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.

Other Providers at the Same Location NPPES

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

NORTHERN INDIANA ONCOLOGY ASSOCIATES LLC
Internal Medicine (Hematology & Oncology)
720 CEDAR ST, SUITE 210
SOUTH BEND, IN 46617
St. Joseph County (274) 472-6400

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 Susan Hart-cavallo's NPI number?

The NPI number for Susan Hart-cavallo is 1649261710. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Susan Hart-cavallo located?

Susan Hart-cavallo practices at 720 Cedar St Suite 400, South Bend, IN 46617. The listed phone number is (574) 232-3327.

What is Susan Hart-cavallo's specialty?

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

Is Susan Hart-cavallo enrolled in Medicare?

No. Susan Hart-cavallo has opted out of Medicare through March 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Susan Hart-cavallo was last updated on November 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.