JOHN WALTER BULGER M.D.
NPI 1821123035
Family Medicine in Mishawaka, IN
About John Walter Bulger M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN WALTER BULGER M.D. (NPI 1821123035) is an individual family medicine provider in Mishawaka, Indiana, licensed in Indiana (01034598A) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Northwest Health-la Porte, and is a graduate of Indiana University School Of Medicine (1984).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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
John Walter Bulger M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show John Bulger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mishawaka, IN 46545
- Reassigned Medicare billing, Indiana enrollment
- 47 clinicians in this Medicare group
Knox, IN 46534
- Reassigned Medicare billing, Indiana enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwest Health-La Porte
Acute Care Hospitals · La Porte, INSaint Joseph Regional Medical Center - Plymouth
Acute Care Hospitals · Plymouth, INNorthwest Health - Starke
Acute Care Hospitals · Knox, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46544 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 14
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MISHAWAKA, IN 46544
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 John Bulger's NPI number?
The NPI number for John Bulger is 1821123035. It was assigned to this individual provider in the NPPES registry on February 21, 2007.
Where is John Bulger located?
John Bulger practices at 303 S Main St Suite 200, Mishawaka, IN 46544. The listed phone number is (574) 255-8285.
What is John Bulger's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Bulger enrolled in Medicare?
Yes. John Bulger 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 organizations bill Medicare for John Bulger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Bulger reassigns Medicare benefits to 2 organizations: Privia Medical Group Indiana, LLC (Mishawaka, IN) and Knox Winamac Community Health Centers Inc (Knox, 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 John Bulger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Bulger accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list John Bulger 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.
Is John Bulger affiliated with any hospitals?
According to CMS data, John Bulger is affiliated with Northwest Health-La Porte, Saint Joseph Regional Medical Center - Plymouth and Northwest Health - Starke.
When was this NPI record last updated?
The NPPES record for John Bulger was last updated on January 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# John Walter Bulger, M.D. · NPI 1821123035
Family Medicine physician in Mishawaka, Indiana. Individual provider, active in the CMS NPPES registry since February 21, 2007.
## Identity
- **NPI:** 1821123035 (Entity type: Individual)
- **Enumerated:** February 21, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 01034598A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 303 S MAIN ST, SUITE 200, Mishawaka, IN 46544-2189
- **Phone:** (574) 255-8285 · **Fax:** (574) 255-8341
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Privia Medical Group Indiana, LLC (NPI 1235303165, Mishawaka, IN); Knox Winamac Community Health Centers Inc (NPI 1629248919, Knox, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 1984
## Record status
- **NPPES last updated:** January 15, 2010
- **Other identifiers:** Medicare ID-Type Unspecified BU164930 (IN); Medicaid 100091420A (IN); Medicare UPIN E06643 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1821123035) · Data from the CMS NPPES public registry.