Organization
PEDIATRIX MEDICAL GROUP OF INDIANA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M PITZER (ASSISTANT SECRETARY)
(800) 243-3839
Entity
Organization
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 234-2287
(574) 234-5803
Mailing address
1301 CONCORD TER STE 300, SUNRISE, FL 33323-2843
(800) 243-3839
(804) 253-0408
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00135170A
—
IN
05
—
00135170B
—
IN
05
—
00135170C
—
IN
05
—
00135170D
—
IN
05
—
00135170F
—
IN
05
—
00135170G
—
IN
05
—
200135170A
—
IN
05
—
200135170B
—
IN
05
—
200135170C
—
IN
05
—
200135170D
—
IN
05
—
200135170F
—
IN
05
—
200135170G
—
IN
05
—
200135170I
—
IN
Enumeration date
09/17/2006
Last updated
08/05/2025
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