SOUTH BEND MEDICAL FOUNDATION, INC
NPI 1922623305
Pathology - Anatomic Pathology & Clinical Pathology in South Bend, IN

Q: What is South Bend Medical Foundation, Inc's NPI number?

The NPI number for South Bend Medical Foundation, Inc is 1922623305. It was assigned to this organization in the NPPES registry on June 11, 2020.

Q: What is South Bend Medical Foundation, Inc's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since June 11, 2020

3355 DOUGLAS RD, SOUTH BEND, IN 46635(574) 234-4176 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 16, 2026, Nov 10, 2023, Jun 11, 2020 (3 updates tracked since 2020).

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About South Bend Medical Foundation, Inc NPPES

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

SOUTH BEND MEDICAL FOUNDATION, INC (NPI 1922623305) is a healthcare organization registered as an anatomic pathology & clinical pathology in South Bend, Indiana and active in the NPI registry since June 2020. The organization maintains a secondary practice location in Kalamazoo and lists Terry Pipp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1922623305

Entity TypeOrganization

Primary Taxonomy207ZP0102X

Legal Business NameSOUTH BEND MEDICAL FOUNDATION, INC

Location Address3355 DOUGLAS RDSouth Bend, IN 46635-1779

Mailing AddressPo Box 11957Fort Wayne, IN 46862-1957 · (800) 288-8325 · Fax (419) 866-5453

Phone(574) 234-4176

Organization SubpartNo

Authorized OfficialTerry PippCfo · (574) 234-7176

Enumeration DateJune 11, 2020

Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1922623305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

3355 DOUGLAS RD, South Bend, IN 46635

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Secondary Practice Location 1

Location 11521 Gull RdKalamazoo, MI 49048-1640 · Phone (269) 226-7231

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)

South Bend Medical Foundation, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 22 clinicians reassign Medicare billing to South Bend Medical Foundation, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 22

Kristen Jacobs, M.D.

Pathology

NPI 1962594929

3355 DOUGLAS RD
South Bend, IN 46635

(574) 234-4176

✔ PECOS✔ Accepts MedicareSame address

Nicole Anest, M.D.

Pathology

NPI 1255438644

530 N. LAFAYETTE BLVD.
South Bend, IN 46601

(574) 234-4176