Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093033029 Individual Practitioner Female Practitioner

Dr. Desire M Andersen , MD

Pediatrics • South Bend, IN

Professional Overview & Biography Verified Profile Summary

Dr. Desire Andersen, MD is a registered healthcare professional specializing in Pediatrics in South Bend, IN. Practice services are available at 615 N MICHIGAN ST FL 5 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

615 N Michigan St Fl 5

South Bend, IN 466011033

Telephone 5746477275
Fax 5746473696
Associated Practice Facility / Clinic
🏢 Beacon Medical Group, Inc. Facility NPI 1467408237

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in South Bend, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.3 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
27 Specialists

Practicing in South Bend, 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: 2026-06-29
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4301103974

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
1093033029 (MI)
Medicaid State Provider ID
300089479 (IN)

Practice Associates & Co-Workers

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

10 Associated Practitioners
Dr. Megan Conway , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1063895845

Doctor of Medicine (M.D.)

Dr. Hari Gourabathini , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1184012130

Doctor of Medicine (M.D.)

NPI 1215179643

Doctor of Medicine (M.D.)

NPI 1215322052

Doctor of Osteopathic Medicine (D.O.)

Siarhei Slinko

Pediatrics - Pediatric Critical Care Medicine

NPI 1356507636
Dr. Paul Zenker , MD

Pediatrics - Pediatric Emergency Medicine

NPI 1659452811

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 29, 2026

Registered at 615 N MICHIGAN ST FL 5, SOUTH BEND, IN 466011033 (Tel: 5746477275)

📍
Updated Business Mailing Address June 29, 2026

Registered at 3245 HEALTH DR STE 100, GRANGER, IN 465301380 (Tel: 5746473725)

NPI Profile Active March 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2016

Registered at 1234 NAPIER AVE, SAINT JOSEPH, MI 490852112 (Tel: 2699838500)

📍
Updated Business Mailing Address March 03, 2016

Registered at 1234 NAPIER AVE, SAINT JOSEPH, MI 490852112 (Tel: 2699838500)

👤
Provider Name / Credentials Updated March 03, 2016

Recorded as DESIRE ANDERSEN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2016

Pediatrics (License #4301103974 in MI)

🟢
Initial NPI Registration & Enumeration May 14, 2010

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: 1093033029
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2010
Last Update: June 29, 2026
Sole Proprietor: No

Mailing Address

3245 Health Dr Ste 100

Granger, IN 465301380

Phone: 5746473725

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.