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PROVIDER PROFILE · NPI 1134189053

NPI 1134189053

PRACTICEICP PPO, LLCSee all providers at this practice →
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PricingContactPrivacyTerms
QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where NPI 1134189053's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 4 inbound referrers · 8 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
The South Bend Clinic Llc
Ambulatory Surgical Center · South Bend, IN
59141
Darius Mehregan
Pathology · Monroe, MI
2127
David Mehregan
Pathology · Monroe, MI
2025
MEMORIAL HOSPITAL OF SOUTH BEND1732
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
David Mehregan
Pathology · Monroe, MI
62103
Darius Mehregan
Pathology · Monroe, MI
5791
South Bend Medical Foundation, Inc
Clinical Laboratory · South Bend, IN
47124
Stephen Olsen
Pathology · Ypsilanti, MI
4468
The South Bend Clinic Llc
Ambulatory Surgical Center · South Bend, IN
41115
SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC.2023
MEMORIAL HOSPITAL OF SOUTH BEND2032
Holly Hake-Harris
Dermatology · South Bend, IN
2048
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.