Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467610352 Individual Practitioner Female Practitioner

Dr. Nancy Anne Pudlo , MD

Pediatrics • Granger, IN

Professional Overview & Biography Verified Profile Summary

Dr. Nancy Pudlo, MD is a registered healthcare professional specializing in Pediatrics in Granger, IN. Practice services are available at 6913 N MAIN ST STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6913 N Main St Ste 200

Granger, IN 465308039

Telephone 5746474540
Fax 5746472971
Associated Practice Facility / Clinic
🏢 Beacon Medical Group, Inc. Facility NPI 1447203674

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Granger, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
11 Specialists

Practicing in Granger, IN (1179 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-31
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 01065123A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200908380 (IN)
Commercial Insurance / Payer ID Anthem Traditonal
000000721926 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1134214240

Doctor of Medicine (M.D.)

NPI 1255371514

Doctor of Medicine (M.D.)

NPI 1326070236

Doctor of Medicine (M.D.)

Madison Parker , NP

Nurse Practitioner - Family

NPI 1407580533

Nurse Practitioner

Therese Steinmetz , MSN, PNP

Nurse Practitioner - Pediatrics

NPI 1417923756

Master of Science in Nursing, Pediatric Nurse Practitioner

NPI 1962486266

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location March 31, 2021

Registered at 6913 N MAIN ST STE 200, GRANGER, IN 465308039 (Tel: 5746474540)

NPI Profile Active December 08, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address December 08, 2017

Registered at 710 N NILES AVE, SOUTH BEND, IN 466171924 (Tel: 5746471610)

📍
Updated Practice Location December 08, 2017

Registered at 10860 MAPLE LANE, ST JOHN, IN 463738418 (Tel: 2193658533)

👤
Provider Name / Credentials Updated December 08, 2017

Recorded as NANCY PUDLO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2017

Pediatrics (License #01065123A in IN)

NPI Profile Active March 24, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2016

Registered at 10860 MAPLE LANE, ST JOHN, IN 463738418 (Tel: 2193658533)

📍
Updated Business Mailing Address March 24, 2016

Registered at 53842 GENERATIONS DR, SUITE 400, SOUTH BEND, IN 466351543 (Tel: 5746471817)

👤
Provider Name / Credentials Updated March 24, 2016

Recorded as NANCY PUDLO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2016

Pediatrics (License #01065123A in IN)

🟢
Initial NPI Registration & Enumeration May 28, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467610352
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2008
Last Update: March 31, 2021
Sole Proprietor: No

Mailing Address

710 N Niles Ave

South Bend, IN 466171924

Phone: 5746471610

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.