South Bend Emergency Physicians, Inc
NPI 1487132114ActiveOrganization· Emergency Medicine· South Bend, IN
Emergency Medicine in South Bend, Indiana, registered in NPPES in August 2018. The authorized official on file is Michael Blakesley, MD, Vice President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1487132114 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 3, 2018 |
| Last updated in NPPES | Sep 23, 2024 |
| Certified by provider | Sep 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
Other Emergency Medicine providers in South Bend
- 1871567842
- 1275614570
- 1992368690
- 1730703778
- 1235578055
- 1902063480
- 1417034968
- 1861615510
- 1174017180
- 1528145091
- 1174600555
- 1902983323