Victory Clinical Services II LLC
NPI 1497798284 · Addiction Medicine (Family Medicine) Physician · South Bend, IN
Enrolled with Medicare as Part B Supplier - Opioid Treatment Program (otp) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Victory Clinical Services II LLC is a Addiction Medicine (Family Medicine) Physician organization in South Bend, IN (NPI 1497798284).
Provider details
- NPI number
- 1497798284
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Blankenship, Administrative Director(574) 233-1524
- License
- 20010221A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Behavioral Health & Social Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-13
- Last updated
- 2012-03-22
Frequently asked questions
- What is Victory Clinical Services II LLC's NPI number?
- Victory Clinical Services II LLC's National Provider Identifier (NPI) is 1497798284, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Victory Clinical Services II LLC?
- Victory Clinical Services II LLC is classified in the NPPES registry as Addiction Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Victory Clinical Services II LLC located?
- Victory Clinical Services II LLC's practice location on file with NPPES is 4218 W Western Ave, South Bend, IN 46619-2622.
- What is Victory Clinical Services II LLC's phone number?
- The practice phone number listed in the NPPES registry for Victory Clinical Services II LLC is (574) 233-1524.
- Does Victory Clinical Services II LLC accept Medicare?
- Victory Clinical Services II LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Victory Clinical Services II LLC?
- The authorized official listed on Victory Clinical Services II LLC's NPPES record is David Blankenship, Administrative Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Victory Clinical Services II LLC's NPI active?
- Yes — Victory Clinical Services II LLC's NPI (1497798284) is active in the NPPES registry as of the last update on 2012-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.