Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518123124 Individual Practitioner Male Practitioner

Dr. Daniel Matthew Kinney , MD

Pediatrics • South Bend, IN

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Kinney, MD is a registered healthcare professional specializing in Pediatrics in South Bend, IN. Practice services are available at 1815 E IRELAND RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1815 E Ireland Rd

South Bend, IN 466142845

Telephone 5746471700
Fax 5746471708
Associated Practice Facility / Clinic
🏢 Beacon Medical Group, Inc. Facility NPI 1124079330

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: 2021-03-30
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 01068216A

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
200985830 (IN)

Secondary Practice Locations

6913 N Main St Ste 200

Granger, IN 465308039

Phone: 5746474540

Practice Associates & Co-Workers

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

27 Associated Practitioners
Dr. Travis Weaver , DO

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1063808772

Doctor of Osteopathic Medicine (D.O.)

NPI 1114047362

Doctor of Medicine (M.D.)

NPI 1144660838

Doctor of Medicine (M.D.)

Dr. Catherine Wolff , DO

Internal Medicine

NPI 1154378602

Doctor of Osteopathic Medicine (D.O.)

Dr. Heather Campion , MD

Orthopaedic Surgery - Hand Surgery

NPI 1336345040

Doctor of Medicine (M.D.)

Jaimee Kamp , NP

Nurse Practitioner - Family

NPI 1346631496

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2016

Registered at 1815 E IRELAND RD, SOUTH BEND, IN 466142845 (Tel: 5746471700)

📍
Updated Business Mailing Address March 18, 2016

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

👤
Provider Name / Credentials Updated March 18, 2016

Recorded as DANIEL KINNEY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2016

Pediatrics (License #01068216A in IN)

🟢
Initial NPI Registration & Enumeration August 03, 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: 1518123124
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2008
Last Update: March 30, 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.