SOUTH BEND MEDICAL FOUNDATION, INC – NPI #1649241084
Pathology
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.
SOUTH BEND MEDICAL FOUNDATION, INC is a pathologist located in SOUTH BEND, IN. NPPES has assigned the NPI number 1649241084 to SOUTH BEND MEDICAL FOUNDATION, INC on February 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ZP0102X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Anatomic Pathology & Clinical Pathology
The NPI profile was last updated on Aug 28, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH BEND MEDICAL FOUNDATION, INC below.
NPI Profile for
SOUTH BEND MEDICAL FOUNDATION, INC
(more than 20 years ago)
SOUTH BEND, IN 46635-1779 Phone: (574) 234-4176 Fax:
1 Other location(s):
South Bend, IN 46635-1779
Phone: (574) 234-4176
TOLEDO, OH 43614-1509 Phone: (800) 288-8325 Fax: (419) 866-5453
CFO
Phone: (574) 234-7176
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Identifiers for SOUTH BEND MEDICAL FOUNDATION, INC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | ANTHEM | 000000097080 | |
| other | RAILROAD MEDICARE | CB4553 | |
| other | RAILROAD MEDICARE | 690164004 | |
| other | TRICARE | 1H1003494 | |
| medicaid | IN | 100112700A | |
| medicaid | MI | 169513624 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207ZP0102X - Pathology / Anatomic Pathology & Clinical Pathology (Primary) |
||
| 291U00000X - Clinical Medical Laboratory |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.