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DANIEL PERRY
NPI 1740975119
Student in an Organized Health Care Education/Training Program in South Bend, IN

Active since April 10, 2023PECOS EnrolledAccepts Medicare Assignment
714 N MICHIGAN ST, SOUTH BEND, IN 46601(574) 647-7477 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Daniel Perry NPPES

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

DANIEL PERRY (NPI 1740975119) is an individual student in an organized health care education/training program in South Bend, Indiana and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (2023).

NPPES Registry Identity

NPI1740975119
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDANIEL PERRY
Location Address714 N MICHIGAN STSouth Bend, IN 46601-1035
Mailing Address714 N Michigan StSouth Bend, IN 46601-1035
Phone(574) 647-7477
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2023
Enumeration DateApril 10, 2023
NPPES CertifiedApril 10, 2023
✔ NPI 1740975119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
714 N MICHIGAN ST, South Bend, IN 46601
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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 and accepts Medicare assignment

Daniel Perry is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294191086
PECOS Enrollment IDI20260627000111
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 Reassignment

Medicare enrollment records show Daniel Perry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beacon Medical Group, Inc.
Same address
Family Medicine
714 N MICHIGAN ST
South Bend, IN 46601
  • Reassigned Medicare billing, Indiana enrollment
  • 734 clinicians in this Medicare group
NPI 1609828946 (574) 647-7477

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

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. DAVID HENRY TALARICO MD
Student in an Organized Health Care Education/Training Program
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7477
ABIGAIL LEIGH REESE DO
Student in an Organized Health Care Education/Training Program
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7477
DALE ALAN PATTERSON M.D.
Family Medicine
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7477
MATTHEW T. DUPRE MD
Family Medicine
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7477
RICHARD J. WARD MD
Family Medicine
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7477
VICTORIA ANN BAWEL MD
Student in an Organized Health Care Education/Training Program
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7477
ISAAC D HATTON MD
Family Medicine
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7913
LAURA LAWRENCE DO
Student in an Organized Health Care Education/Training Program
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7477

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 Daniel Perry's NPI number?

The NPI number for Daniel Perry is 1740975119. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Daniel Perry located?

Daniel Perry practices at 714 N Michigan St, South Bend, IN 46601. The listed phone number is (574) 647-7477.

What is Daniel Perry's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Daniel Perry enrolled in Medicare?

Yes. Daniel Perry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Daniel Perry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Perry reassigns Medicare benefits to Beacon Medical Group, Inc. (South Bend, IN). The 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 Daniel Perry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Perry accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Daniel Perry 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 Daniel Perry was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.