Dr Shruti A Fadia, M,D, in South Bend, IN

Dr Shruti A Fadia, M,D, is a medicare enrolled "Pediatrics - Pediatric Endocrinology" physician in South Bend, Indiana. Her current practice location is 100 Navarre Pl, Suite 5550, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-2550.

Dr Shruti A Fadia is licensed to practice in Indiana (license number 01074405A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669634770.

Contact Information

	Dr Shruti A Fadia, M,D,
	100 Navarre Pl, Suite 5550, South Bend, IN 46601-1156
	(574) 647-2550
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shruti A Fadia
Gender	Female
Speciality	Pediatrics - Pediatric Endocrinology
Location	100 Navarre Pl, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669634770
Provider Enumeration Date: 06/30/2008
Last Update Date: 03/15/2021

Medicare PECOS Information:

PECOS PAC ID: 4688893969
Enrollment ID: I20161101000864

Medical Identifiers

Medical identifiers for Dr Shruti A Fadia such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669634770	NPI	-	NPPES
201247820	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MT192950 (Pennsylvania)	Secondary
208000000X	Pediatrics	01074405A (Indiana)	Secondary
2080P0205X	Pediatrics - Pediatric Endocrinology	01074405A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Shruti A Fadia allows following entities to bill medicare on her behalf.

Entity Name	Rockford Health Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584

Entity Name	Bonaventure Medical Foundation Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588775647 PECOS PAC ID: 7517863178 Enrollment ID: O20031212000374

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shruti A Fadia is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Shruti A Fadia, M,D, 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610	Dr Shruti A Fadia, M,D, 100 Navarre Pl, Suite 5550, South Bend, IN 46601-1156 Ph: (574) 647-2550

Reviews and Comments

Pediatrics Doctors in South Bend, IN

Angela C Herman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, 4th Fl, South Bend, IN 46601 Phone: 574-647-6892 Fax: 574-647-6895
Asad Ansari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Navarre Pl Ste 5550, South Bend, IN 46601 Phone: 574-647-2550 Fax: 574-647-1129
Megan Elizabeth Conway, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Michigan St, 5th Fl, South Bend, IN 46601 Phone: 574-647-7275 Fax: 574-647-3696
Dr. Lori A Wykoff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652
Ruchita Kachru, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1815 E Ireland Rd, South Bend, IN 46614 Phone: 574-647-1700 Fax: 574-291-3351
Dr. Robert Dennis White, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-7351 Fax: 574-647-7248
Hari Rasad Gourabathini, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Michigan St 5th Fl, South Bend, IN 46601 Phone: 574-647-7275 Fax: 574-647-3696

Dr Shruti A Fadia, M,D, - Medicare Pediatrics in South Bend, IN