EDUARDO CAMPOS-HERNANDEZ (PT) – Physical Therapist, NPI 1073483715
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,865 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN
Provider Addresses for EDUARDO CAMPOS-HERNANDEZ (PT)
202 LINCOLNWAY E STE 100
MISHAWAKA, IN 465442079
Phone: (574) 647-2560
Fax: (574) 647-2563
Type: Location
1815 E Ireland Rd Ste 100
South Bend, IN 466142845
Phone: (574) 647-5790
Fax: (574) 647-5792
Type: Location
111 W Jefferson Blvd Ste 100
South Bend, IN 466011993
Phone: (574) 647-2600
Type: Location
200 E JACKSON BLVD STE 150
ELKHART, IN 465163513
Phone: (574) 389-5558
Fax: (574) 389-5559
Type: Location
3221 Beacon Pkwy Ste 100
Granger, IN 465307196
Phone: (574) 647-2930
Fax: (574) 647-2935
Type: Location
3245 HEALTH DR STE 100
GRANGER, IN 465301380
Phone: (574) 647-3725
Type: Mailing
1815 E IRELAND RD STE 100
SOUTH BEND, IN 466142845
Phone: (574) 647-5790
Fax: (574) 647-5792
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251226000630 | I | Physical Therapist In Private Practice | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46544)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| - | IN | |
| - | IN |
Reviews
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