Memorial Hospital of South Bend, Inc
NPI 1134534456ActiveOrganization· Physician Assistant· South Bend, IN
Physician Assistant in South Bend, Indiana, registered in NPPES in June 2014. The authorized official on file is Jeffery P. Costello, Vp/Cfo.
Overview
| NPI | 1134534456 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 25, 2014 |
| Last updated in NPPES | Sep 9, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| General Acute Care Hospital | 282N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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