THERESA R. CRUTHIRD (M.D.) – Anesthesiology Physician, NPI 1194040048

THERESA R. CRUTHIRD (M.D.) is a healthcare provider. based in South bend, Indiana. specializing in Anesthesiology Physician. They hold the professional credentials M.D.. They hold a License No. 01073502A (IN). The NPI Number for THERESA R. CRUTHIRD (M.D.) is 1194040048

Main info

Female
Sole Proprietor
16 Years Of Experience
Name
THERESA R. CRUTHIRD (M.D.)
NPI
1194040048
Phone
(574) 233-3123
Address
121 S SAINT LOUIS BLVD
Enumeration Date
5 April 2010
Last Update Date
26 November 2014

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
7063351100
Graduation Year
2010 (16 years ago)
PAC ID
2567699424
Group Practice PAC ID
8729011333
Professional Enrollment ID
I20200504001430
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for THERESA R. CRUTHIRD (M.D.)

  • South Saint Louis Boulevard, South Bend, Saint Joseph County, Indiana, 46617, United States

    SOUTH BEND, IN 466172924

    Phone: (574) 233-3123

    Fax: (574) 233-3125

    Type: Location

  • South Bend Post Office, 313, South Main Street, South Bend, Young County, Texas, 76481, United States

    SOUTH BEND, IN 466344016

    Phone: (574) 233-3123

    Fax: (574) 233-3125

    Type: Mailing

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 46617)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729011333View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)OH
-MO
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YOR
-IL
-KS
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

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Frequently asked questions

Is THERESA R. CRUTHIRD (M.D.) listed with a National Provider Identifier?
Yes — THERESA R. CRUTHIRD (M.D.) has NPI 1194040048 on file in the registry.
Is there an active status for THERESA R. CRUTHIRD (M.D.)?
For scheduling context, THERESA R. CRUTHIRD (M.D.) is shown as active in the registry.
How would a patient describe THERESA R. CRUTHIRD (M.D.)'s focus?
For THERESA R. CRUTHIRD (M.D.), the primary taxonomy reads as Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is THERESA R. CRUTHIRD (M.D.) located near South Bend?
THERESA R. CRUTHIRD (M.D.) currently maps to South Bend, Indiana in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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