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MICHIANA OB/GYN
NPI 1689909848
Obstetrics & Gynecology in South Bend, IN

Active since October 06, 2009CLIA 15D2253389 · Microscopy
515 N LAFAYETTE BLVD, SOUTH BEND, IN 46601(574) 232-2037(574) 232-1420 Get Directions Write a Review

NPPES record last updated: December 29, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michiana Ob/gyn NPPES

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

MICHIANA OB/GYN (NPI 1689909848) is a healthcare organization registered as an obstetrics & gynecology in South Bend, Indiana and active in the NPI registry since October 2009. The organization holds a CLIA Microscopy certificate valid through February 20, 2028 and lists Shery A. Roussarie, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689909848
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameALLIED PHYSICIANS OF MICHIANA, LLC
Location Address515 N LAFAYETTE BLVDSouth Bend, IN 46601-1003
Mailing Address6301 University Commons, Suite 230South Bend, IN 46635-1571 · (574) 251-2100 · Fax (574) 251-2150
Phone(574) 232-2037
Fax(574) 232-1420
Organization SubpartYes
Authorized OfficialShery A. RoussarieCeo · (574) 251-2100
Enumeration DateOctober 6, 2009
Last NPPES UpdateDecember 29, 2017
✔ NPI 1689909848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
515 N LAFAYETTE BLVD, South Bend, IN 46601
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Other Names 1

Doing Business AsMichiana Ob/gyn

Other Identifiers 1

Medicaid200962980BIN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 15D2253389

South Bend Clinic, LLC Dba Michiana Ob/Gyn-, The Granger · Granger, IN
Active · expires Feb 20, 2028
CLIA Number15D2253389
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2026
Certificate Expiration DateFebruary 20, 2028
Laboratory DirectorDaniel F. Czarnecki
Laboratory Phone(574) 232-2037
Laboratory LocationSouth Bend Clinic, LLC Dba Michiana Ob/Gyn-, The Granger14950 Sr 23, Granger, IN 46530
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

DR. RAJENDRA VITO SHAH M.D.
Obstetrics & Gynecology
515 N LAFAYETTE BLVD
SOUTH BEND, IN 46601
St. Joseph County (574) 232-2037
DESHANNON GRADY JR
Behavior Technician
515 N LAFAYETTE BLVD
SOUTH BEND, IN 46601
St. Joseph County (866) 727-8274
HOUSER-NORBORG-MACGREGOR MEDICAL CORP
Obstetrics & Gynecology
515 N LAFAYETTE BLVD
SOUTH BEND, IN 46601
St. Joseph County (574) 232-2037
MRS. SHANNON LEE LUCZAK APN
Advanced Practice Midwife
515 N LAFAYETTE BLVD
SOUTH BEND, IN 46601
St. Joseph County (574) 232-2037
DANIEL FRANCIS CZARNECKI M.D.
Obstetrics & Gynecology
515 N LAFAYETTE BLVD
SOUTH BEND, IN 46601
St. Joseph County (574) 232-2037
DAYNA COX MD
Obstetrics & Gynecology
515 N LAFAYETTE BLVD
SOUTH BEND, IN 46601
St. Joseph County (574) 232-2037
DR. JESSICA MARIE BASHAM M.D.
Obstetrics & Gynecology
515 N LAFAYETTE BLVD
SOUTH BEND, IN 46601
St. Joseph County (574) 232-2037
JILL HAMILTON QMHS
Behavior Technician
515 N LAFAYETTE BLVD
SOUTH BEND, IN 46601
St. Joseph County (866) 727-8274

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 Allied Physicians Of Michiana, LLC's NPI number?

The NPI number for Allied Physicians Of Michiana, LLC is 1689909848. It was assigned to this organization in the NPPES registry on October 6, 2009. The provider is doing business as Michiana Ob/Gyn.

Where is Allied Physicians Of Michiana, LLC located?

Allied Physicians Of Michiana, LLC is located at 515 N Lafayette Blvd, South Bend, IN 46601. The listed phone number is (574) 232-2037.

What is Allied Physicians Of Michiana, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Allied Physicians Of Michiana, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D2253389) is associated with this NPI, valid through February 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Allied Physicians Of Michiana, LLC accept?

Health plans from CareSource list Allied Physicians Of Michiana, LLC 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 Allied Physicians Of Michiana, LLC was last updated on December 29, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.