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MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC
NPI 1912074659
Physical Medicine & Rehabilitation - Pain Medicine in Mishawaka, IN

Active since November 29, 2006
3740 EDISON LAKES PKWY, MISHAWAKA, IN 46545(574) 252-4150(574) 252-4159 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 3, 2022, Oct 24, 2022 (2 updates tracked since 2022).

About Michiana Spine, Sports & Occupational Rehab, Pc NPPES

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

MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC (NPI 1912074659) is a healthcare organization registered as a pain medicine in Mishawaka, Indiana and active in the NPI registry since November 2006. The organization lists Kevin Gene Drew, President, as its authorized official.

NPPES Registry Identity

NPI1912074659
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameMICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC
Location Address3740 EDISON LAKES PKWYMishawaka, IN 46545-3474
Mailing Address3740 Edison Lakes PkwyMishawaka, IN 46545-3474 · (574) 252-4150 · Fax (574) 252-4159
Phone(574) 252-4150
Fax(574) 252-4159
Organization SubpartNo
Authorized OfficialKevin Gene DrewPresident · (574) 252-4150
Enumeration DateNovember 29, 2006
Last NPPES UpdateNovember 3, 20222 updates tracked since enumeration
NPPES CertifiedNovember 3, 2022
✔ NPI 1912074659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in IN · 01042863
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
3740 EDISON LAKES PKWY, Mishawaka, IN 46545
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Other Identifiers 4

OtherCI5205Railroad Medicare
Other129646400Dept Of Laboracs
Medicaid200216220AIN
Other25-0A110370MI · Bcbsmi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michiana Spine, Sports & Occupational Rehab, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Michiana Spine, Sports & Occupational Rehab, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Kevin Drew, MD
Physical Medicine and Rehabilitation
NPI 1275538373
3740 EDISON LAKES PKWY
Mishawaka, IN 46545
(574) 252-4150
✔ PECOS✔ Accepts MedicareSame address
Jonathan Sanner, DPT
Physical Therapist in Private Practice
NPI 1134672728
3740 EDISON LAKES PKWY
Mishawaka, IN 46545
(574) 252-4150
✔ Accepts MedicareSame address
Heidi Bell, FNP-BC
Nurse Practitioner
NPI 1821223488
53880 CARMICHAEL DR
South Bend, IN 46635
(574) 247-9441
✔ PECOS✔ Accepts Medicare1.8 mi
Caitlin Vlaeminck
Nurse Practitioner
NPI 1083919161
100 NAVARRE PL STE 4440
South Bend, IN 46601
(574) 647-5300
✔ PECOS✔ Accepts Medicare3.8 mi
Timothy Swartz, M.D.
Internal Medicine
NPI 1851393797
555 W CROSSTOWN PKWY SUITE 201
Kalamazoo, MI 49008
(269) 532-1590
✔ PECOS50 mi
Alessandra Chatson, DNP
Nurse Practitioner
NPI 1427253368
117 W PATERSON ST
Kalamazoo, MI 49007
(269) 349-2641
✔ PECOS✔ Accepts Medicare52 mi

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

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 Michiana Spine, Sports & Occupational Rehab, PC's NPI number?

The NPI number for Michiana Spine, Sports & Occupational Rehab, PC is 1912074659. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Michiana Spine, Sports & Occupational Rehab, PC located?

Michiana Spine, Sports & Occupational Rehab, PC is located at 3740 Edison Lakes Pkwy, Mishawaka, IN 46545. The listed phone number is (574) 252-4150.

What is Michiana Spine, Sports & Occupational Rehab, PC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Michiana Spine, Sports & Occupational Rehab, PC enrolled in Medicare?

Yes. Michiana Spine, Sports & Occupational Rehab, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michiana Spine, Sports & Occupational Rehab, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 4 Medicare specialties reassign their Medicare billing to Michiana Spine, Sports & Occupational Rehab, PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3), Internal Medicine (1) and Physical Medicine and Rehabilitation (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Michiana Spine, Sports & Occupational Rehab, PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 2 other insurers list Michiana Spine, Sports & Occupational Rehab, PC 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 Michiana Spine, Sports & Occupational Rehab, PC was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.