DR. MICHELLE AILEEN THOMPSON (M.D.) – Family Medicine Physician, NPI 1205810165

DR. MICHELLE AILEEN THOMPSON (M.D.) is a healthcare provider. based in South bend, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 01052033A (IN). The NPI Number for DR. MICHELLE AILEEN THOMPSON (M.D.) is 1205810165

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHELLE AILEEN THOMPSON (M.D.)
NPI
1205810165
Phone
(574) 647-1610
Address
710 N NILES AVE
Enumeration Date
5 December 2005
Last Update Date
28 April 2023

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5746473050
Graduation Year
1998 (28 years ago)
PAC ID
3476550526
Group Practice PAC ID
1254243306
Professional Enrollment ID
I20061102000171
Address ID
IN466011033SO615XXFLXX501

Contacts

Secure Messaging
mthompson@mybeacon.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,862 FAMILY PRACTICE in IN

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Provider Addresses for DR. MICHELLE AILEEN THOMPSON (M.D.)

  • 710, North Niles Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States

    SOUTH BEND, IN 466171924

    Phone: (574) 647-1610

    Fax: (574) 237-6069

    Type: Mailing

  • Memorial Hospital of South Bend, 615, North Michigan Street, South Bend, Saint Joseph County, Indiana, 46601, United States

    1ST FL HOSPITALIST STE

    SOUTH BEND, IN 466011033

    Phone: (574) 647-3500

    Fax: (574) 647-1094

    Type: Location

  • 3245 HEALTH DRIVE

    SUITE 100

    GRANGER, IN 465303245

    Phone: (574) 647-1840

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-11-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061102000171IFamily PracticeINTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9145$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5831$0
99239Hospital discharge day management, more than 30 minutes3737$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1919$0
View full utilization report →

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: 1254243306View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Interventional CardiologyIN
Nurse PractitionerIN
-IN
Qualified AudiologistIN
Nurse PractitionerIN
-IN
Nurse PractitionerIN
-IN
General SurgeryIN
-IN

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does DR. MICHELLE AILEEN THOMPSON (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MICHELLE AILEEN THOMPSON (M.D.) uses 1205810165.
Is DR. MICHELLE AILEEN THOMPSON (M.D.) still practicing?
DR. MICHELLE AILEEN THOMPSON (M.D.) is currently listed as active in the public NPI registry.
What is DR. MICHELLE AILEEN THOMPSON (M.D.)'s specialty?
The listing groups DR. MICHELLE AILEEN THOMPSON (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. MICHELLE AILEEN THOMPSON (M.D.) list a practice location?
Patients near South Bend, Indiana may find DR. MICHELLE AILEEN THOMPSON (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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