South Bend Medical Foundation, Inc
NPI 1922623305 · Anatomic Pathology & Clinical Pathology Physician · South Bend, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Bend Medical Foundation, Inc is a Anatomic Pathology & Clinical Pathology Physician organization in South Bend, IN (NPI 1922623305).
Provider details
- NPI number
- 1922623305
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Terry Pipp, Cfo(574) 234-7176
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1521 Gull RdKalamazoo, MI 49048-1640Phone: (269) 226-7231
Registry dates
- Enumerated
- 2020-06-11
- Last updated
- 2025-08-28
- Certified
- 2025-08-28
Frequently asked questions
- What is South Bend Medical Foundation, Inc's NPI number?
- South Bend Medical Foundation, Inc's National Provider Identifier (NPI) is 1922623305, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Bend Medical Foundation, Inc?
- South Bend Medical Foundation, Inc is classified in the NPPES registry as Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is South Bend Medical Foundation, Inc located?
- South Bend Medical Foundation, Inc's practice location on file with NPPES is 3355 Douglas Rd, South Bend, IN 46635-1779.
- What is South Bend Medical Foundation, Inc's phone number?
- The practice phone number listed in the NPPES registry for South Bend Medical Foundation, Inc is (574) 234-4176.
- Does South Bend Medical Foundation, Inc accept Medicare?
- South Bend Medical Foundation, Inc 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 South Bend Medical Foundation, Inc?
- The authorized official listed on South Bend Medical Foundation, Inc's NPPES record is Terry Pipp, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Bend Medical Foundation, Inc's NPI active?
- Yes — South Bend Medical Foundation, Inc's NPI (1922623305) is active in the NPPES registry as of the last update on 2025-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.