TUCKER G. BALAM DO
NPI 1861652463
Family Medicine in South Bend, IN
About Tucker G. Balam Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TUCKER G. BALAM DO (NPI 1861652463) is an individual family medicine provider in South Bend, Indiana, licensed in Indiana (02003535A) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Tucker G. Balam Do 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 Reassignment
Medicare enrollment records show Tucker Balam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Bend, IN 46601
- Reassigned Medicare billing, Indiana enrollment
- 734 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital Of South Bend
Acute Care Hospitals · South Bend, INPhysician 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.
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.
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
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 Tucker Balam's NPI number?
The NPI number for Tucker Balam is 1861652463. It was assigned to this individual provider in the NPPES registry on June 17, 2008.
Where is Tucker Balam located?
Tucker Balam practices at 714 N Michigan St, South Bend, IN 46601. The listed phone number is (574) 647-7477.
What is Tucker Balam's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tucker Balam enrolled in Medicare?
Yes. Tucker Balam 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 Tucker Balam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tucker Balam 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 Tucker Balam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tucker Balam accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Tucker Balam 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 Tucker Balam affiliated with any hospitals?
According to CMS data, Tucker Balam is affiliated with Memorial Hospital Of South Bend.
When was this NPI record last updated?
The NPPES record for Tucker Balam was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Tucker G. Balam, DO · NPI 1861652463
Family Medicine physician in South Bend, Indiana. Individual provider, active in the CMS NPPES registry since June 17, 2008.
## Identity
- **NPI:** 1861652463 (Entity type: Individual)
- **Enumerated:** June 17, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 02003535A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 714 N MICHIGAN ST, South Bend, IN 46601-1035
- **Phone:** (574) 647-7477 · **Fax:** (574) 647-3655
## 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:** Beacon Medical Group, Inc. (NPI 1609828946, South Bend, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** March 30, 2021
- **Other identifiers:** Medicaid 201382680 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1861652463) · Data from the CMS NPPES public registry.