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DR. MARY HOPE GRIFFIN M.D.
NPI 1659402220
Pediatrics in South Bend, IN

Active since March 08, 2007PECOS Enrolled
621 MEMORIAL DR STE 402, SOUTH BEND, IN 46601(574) 400-4550(574) 400-4551 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 16, 2019, Mar 16, 2016 (2 updates tracked since 2016).

About Dr. Mary Hope Griffin M.d. NPPES

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

DR. MARY HOPE GRIFFIN M.D. (NPI 1659402220) is an individual pediatrics provider in South Bend, Indiana, licensed in Indiana (01066608A) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659402220
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MARY HOPE GRIFFINCredential: M.D.
Location Address621 MEMORIAL DR STE 402South Bend, IN 46601-1074
Mailing Address621 Memorial Dr Ste 402South Bend, IN 46601-1074 · (574) 400-4550 · Fax (574) 400-4551
Phone(574) 400-4550
Fax(574) 400-4551
Sole ProprietorNo
Enumeration DateMarch 8, 2007
Last NPPES UpdateJanuary 16, 20192 updates tracked since enumeration
✔ NPI 1659402220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01066608A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
621 MEMORIAL DR STE 402, South Bend, IN 46601
Open in Google Maps ↗

Other Identifiers 4

Other000000640442IN · Bcbs Bmg Southeast
Other000000640863IN · Bcbs Bmg Central
Medicaid200969080IN
Other000000789444IN · Bcbs Bmg Centennial

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 (PECOS)

Dr. Mary Hope Griffin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Mary Hope Griffin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthlinc, Inc
Same address
Federally Qualified Health Center (FQHC)
621 MEMORIAL DR STE 402
South Bend, IN 46601
  • Reassigned Medicare billing, Indiana enrollment
  • 183 clinicians in this Medicare group
NPI 1972071769 (219) 413-5100
Primary Care Partners Of South Bend
0.9 mi
Family Medicine
300 S SAINT LOUIS BLVD STE 204
South Bend, IN 46617
  • Reassigned Medicare billing, Indiana enrollment
  • 6 clinicians in this Medicare group
NPI 1497399927 (574) 251-1200

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

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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
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 14

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

CHRISTINE ELIZABETH COULTER MSN, FNP
Nurse Practitioner (Family)
621 MEMORIAL DR STE 402
SOUTH BEND, IN 46601
St. Joseph County (574) 400-4550
MR. PAUL BRIAN SEXTON LCSW
Social Worker (Clinical)
621 MEMORIAL DR STE 402
SOUTH BEND, IN 46601
St. Joseph County (574) 280-8199
MARJORIE THERMIDOR DAOUD MD
Internal Medicine (Infectious Disease)
621 MEMORIAL DR STE 402, MEMORIAL HOSPITAL
SOUTH BEND, IN 46601
St. Joseph County (574) 647-2500
MICHAEL SEAN KOZAK MD
Family Medicine
621 MEMORIAL DR STE 402
SOUTH BEND, IN 46601
St. Joseph County (574) 400-4550
KAYTI LYNN BONCZYNSKI NP
Nurse Practitioner (Family)
621 MEMORIAL DR STE 402
SOUTH BEND, IN 46601
St. Joseph County (574) 400-4550
BRANDON WILLIAM ZABUKOVIC M.D.
Family Medicine
621 MEMORIAL DR STE 402
SOUTH BEND, IN 46601
St. Joseph County (574) 400-4550
JENNIFER MARIE BEAM FNP
Nurse Practitioner (Family)
621 MEMORIAL DR STE 402
SOUTH BEND, IN 46601
St. Joseph County (574) 400-4550
KRISTEN MICHELLE MADSON PHARMD
Pharmacist
621 MEMORIAL DR STE 402
SOUTH BEND, IN 46601
St. Joseph County (574) 400-4550

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 Mary Hope Griffin's NPI number?

The NPI number for Mary Hope Griffin is 1659402220. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Mary Hope Griffin located?

Mary Hope Griffin practices at 621 Memorial Dr Ste 402, South Bend, IN 46601. The listed phone number is (574) 400-4550.

What is Mary Hope Griffin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mary Hope Griffin enrolled in Medicare?

Yes. Mary Hope Griffin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Hope Griffin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Hope Griffin reassigns Medicare benefits to 2 organizations: Healthlinc, Inc (South Bend, IN) and Primary Care Partners Of South Bend (South Bend, 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 Mary Hope Griffin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Hope Griffin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Mary Hope Griffin 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 Mary Hope Griffin was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.