MICHIANA ARTHRITIS & OSTEOPOROSIS CENTER
NPI 1205887817
Internal Medicine - Rheumatology in South Bend, IN

NPI Status: Active since May 16, 2006

Contact Information

707 N MICHIGAN ST
SUITE 102
SOUTH BEND, IN
ZIP 46601
Phone: (574) 647-4500

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  • Organization
  • Internal Medicine
  • Rheumatology
  • Accepts Insurance
  • CLIA Number: 15D2309128
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-08-2026

About MICHIANA ARTHRITIS & OSTEOPOROSIS CENTER

This page provides the complete NPI Profile along with additional information for Michiana Arthritis & Osteoporosis Center, an internist established in South Bend, Indiana operating as a Internal Medicine, focusing in rheumatology . The healthcare provider is registered in the NPI registry with number 1205887817 assigned on May 2006. The practitioner's primary taxonomy code is 207RR0500X with license number 01061323A (IN). The provider is registered as an organization and their NPI record was last updated 9 years ago. Michiana Arthritis & Osteoporosis Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Michiana Arthritis & Osteoporosis Center. The authorized official of this NPI record is Jeffrey Costello (Vp-cfo)

NPI
1205887817
Provider Legal Name
BEACON MEDICAL GROUP INC
Other Organization Name
MICHIANA ARTHRITIS & OSTEOPOROSIS CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
707 N MICHIGAN ST SUITE 102 SOUTH BEND, IN 46601
Location Phone
(574) 647-4500
Mailing Address
710 N NILES AVE SOUTH BEND, IN 46617
Mailing Phone
(574) 647-1610
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-16-2006
Last Update Date
05-13-2016
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An internist like Michiana Arthritis & Osteoporosis Center is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Rheumatology

Taxonomy Code
207RR0500X
Type
Allopathic & Osteopathic Physicians
License No.
01061323A
License State
IN
Taxonomy Description
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 9200 (+ Incentives) - HMO
  • Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 3500 HSA (+ Incentives) - HMO
  • Anthem Silver Essential 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFFREY COSTELLO

Authorized Official Title
VP-CFO
Authorized Official Phone
(574) 647-3549

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
236330MEDICARE PIN (08)IN 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D2309128
Facility Type
Physician Office
Certificate Effective Date
August 09, 2024
Certificate Expiration Date
August 08, 2026
Laboratory Director
MARJORIE DAOUD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Michiana Arthritis & Osteoporosis Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MICHIANA ARTHRITIS & OSTEOPOROSIS CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205887817
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22051681482
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 6 + 8 + 1 + 4 + 8 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1205887817 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801890520DR. BERNARD JAY ASDELL D.D.S.
Individual
Dentist (Oral and Maxillofacial Surgery)707 N MICHIGAN ST STE 300
SOUTH BEND, IN 46601
(574) 289-0080
1932107661DR. BARBARA LOUISE WILLIAMS MD
Individual
Internal Medicine707 N MICHIGAN ST SUITE 115
SOUTH BEND, IN 46601
(574) 233-8170
1851376149MS. MARIE K UDULUTCH PSYD
Individual
Psychologist707 N MICHIGAN ST STE. 400
SOUTH BEND, IN 46601
(574) 647-1068
1093775272MICHIANA ORAL &MAXILLOFACIAL SURGERY LLC
Organization
Dentist (Oral and Maxillofacial Surgery)707 N MICHIGAN ST SUITE 300
SOUTH BEND, IN 46601
(574) 289-0080
1730134800BARBARA L WILLIAMS MD
Organization
Internal Medicine707 N MICHIGAN ST SUITE 115
SOUTH BEND, IN 46601
(574) 233-8170
1891816559PEDIATRIC CARDIOLOGY OF MICHIANA, PC
Organization
Pediatrics (Pediatric Cardiology)707 N MICHIGAN ST SUITE 316
SOUTH BEND, IN 46601
(574) 232-3325
1457536336CARDIOTHORACIC SURGERY, P.C.
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)707 N MICHIGAN ST SUITE 501
SOUTH BEND, IN 46601
(574) 237-0644
1447520291ADVANCED CENTER FOR CARDIOTHORACIC SURGERY LLC
Organization
Clinic/Center (Medical Specialty)707 N MICHIGAN ST 503
SOUTH BEND, IN 46601
(574) 647-6500
1679707012DR. NARENDRA PRATAP SINGH MD
Individual
Psychiatry & Neurology (Addiction Psychiatry)707 N MICHIGAN ST SUITE 400
SOUTH BEND, IN 46601
(313) 505-7595
1073598835DR. STEVE L GERBER M.D.
Individual
Ophthalmology707 N MICHIGAN ST STE 210
SOUTH BEND, IN 46601
(574) 233-2114
1619971488DR. THOMAS EDWARD CAPANNARI M.D.
Individual
Pediatrics (Pediatric Cardiology)707 N MICHIGAN ST STE 316
SOUTH BEND, IN 46601
(574) 232-3325
1154351393 JOHN J HASKIN JR. M.D.
Individual
Psychiatry & Neurology (Psychiatry)707 N MICHIGAN ST STE 400
SOUTH BEND, IN 46601
(574) 647-8470
1003172719 BETH ANN HAYDEN FNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)707 N MICHIGAN ST STE 400
SOUTH BEND, IN 46601
(574) 647-8470
1548304876ADVANCED OPHTHALMOLOGY OF MICHIANA LLC
Organization
Ophthalmology707 N MICHIGAN ST STE 210
SOUTH BEND, IN 46601
(574) 233-2114
1962547984ADVANCED OPHTHALMOLOGY OF MICHIANA LLC
Organization
Durable Medical Equipment & Medical Supplies707 N MICHIGAN ST STE 210
SOUTH BEND, IN 46601
(574) 233-3474
1275705691 JAGADEESH REDDY M.D.
Individual
Psychiatry & Neurology (Psychiatry)707 N MICHIGAN ST STE 400
SOUTH BEND, IN 46601
(574) 647-8470
1508080714 DUANE D FLAIG FNP, APRN-BC
Individual
Nurse Practitioner (Family)707 N MICHIGAN ST STE 400
SOUTH BEND, IN 46601
(574) 647-8470
1528166097DR. SCOTT ERIC TATE DDS, MS
Individual
Dentist (Oral and Maxillofacial Surgery)707 N MICHIGAN ST
SOUTH BEND, IN 46601
(574) 289-0080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205887817, enumerated in the NPI registry as an "organization" on May 16, 2006

The provider is located at 707 N Michigan St Suite 102 South Bend, In 46601 and the phone number is (574) 647-4500

This medical organization specializes in Internal Medicine with taxonomy code 207RR0500X with a focus in Rheumatology

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 15D2309128 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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