SOUTH BEND ORTHOPAEDIC ASSOCIATES, INC.
NPI 1669421277
Orthopaedic Surgery in South Bend, IN
NPI Status: Active since May 09, 2006
Contact Information
53880 CARMICHAEL DR
SOUTH BEND, IN
ZIP 46635
Phone: (574) 247-9441
Fax: (574) 247-9442
- Organization
- Orthopaedic Surgery
- CLIA Number: 15D2002931
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-27-2026
About SOUTH BEND ORTHOPAEDIC ASSOCIATES, INC.
This page provides the complete NPI Profile along with additional information for South Bend Orthopaedic Associates, Inc., a provider established in South Bend, Indiana operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1669421277 assigned on May 2006. The practitioner's primary taxonomy code is 207X00000X with license number 50000460A (IN). The provider is registered as an organization and their NPI record was last updated 9 years ago. South Bend Orthopaedic Associates, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is James P Sieradzki M.d. (President)
- NPI
- 1669421277
- Provider Name
- SOUTH BEND ORTHOPAEDIC ASSOCIATES, INC.
- 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
- 05-09-2006
- Last Update Date
- 05-11-2017
- Code Navigator
Location Map
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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 50000460A
- License State
- IN
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207XS0106X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 50000460A (IN) |
| 2 | 207XS0117X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 50000460A (IN) |
| 3 | 207XX0004X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 50000460A (IN) |
| 4 | 2081S0010X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 50000460A (IN) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 727130 | MEDICARE PIN (08) | IN | |
| 0429450001 | MEDICARE NSC (07) | IN | |
| 100220150A | MEDICAID (05) | IN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D2002931
- Facility Type
- Physician Office
- Certificate Effective Date
- January 28, 2024
- Certificate Expiration Date
- January 27, 2026
- Laboratory Director
- ZIYA D. TOPER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to South Bend Orthopaedic Associates, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SOUTH BEND ORTHOPAEDIC ASSOCIATES, INC.
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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 1669421277, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SOUTH BEND, IN 46635
SOUTH BEND, IN 46635
SOUTH BEND, IN 46635
SOUTH BEND, IN 46635
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669421277, enumerated as an "organization" on May 09, 2006.
The provider is located at 53880 CARMICHAEL DR SOUTH BEND, IN 46635 and the phone number is (574) 247-9441.
Orthopaedic Surgery with taxonomy code 207X00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
