KEVIN TAUBMAN (M.D.) – Vascular Surgery Physician, NPI 1811101132

KEVIN TAUBMAN (M.D.) is a healthcare provider. based in South bend, Indiana. specializing in GENERAL SURGERY, VASCULAR SURGERY. They hold the professional credentials M.D.. They hold a License No. 01084736A (IN). The NPI Number for KEVIN TAUBMAN (M.D.) is 1811101132

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN TAUBMAN (M.D.)
NPI
1811101132
Phone
(574) 647-1610
Address
710 N NILES AVE
Enumeration Date
9 May 2007
Last Update Date
6 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5746475200
Graduation Year
1999 (27 years ago)
PAC ID
1658463310
Group Practice PAC ID
1254243306
Professional Enrollment ID
I20201023002116
Address ID
IN466011172SO100XXPLXX301

Contacts

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

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

729 GENERAL SURGERY in IN

Provider Addresses for KEVIN TAUBMAN (M.D.)

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

    SOUTH BEND, IN 466171924

    Phone: (574) 647-1610

    Type: Mailing

  • 100 NAVARRE PL STE 5500

    SOUTH BEND, IN 466011172

    Phone: (574) 647-5200

    Fax: (574) 647-5210

    Type: Location

  • 600, South Wheeling Avenue, Kendall Whitter-West, Tulsa, Tulsa County, Oklahoma, 74104, United States

    TULSA, OK 741045635

    Phone: (918) 744-3523

    Fax: (918) 744-3463

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $652.

Total Amount is formed as General ($652) + Research ($0) + Ownership ($0) = $652.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Cook Medical LLC ($170).

Total Amount

$652

General + Research + Ownership

Payments

15

Total payment records

General Amount

$652

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-10-23

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
I20201023002116IGeneral SurgeryINTBD

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
93922Ultrasound study of arm and leg arteries8562$0
99213Established patient office or other outpatient visit, 20-29 minutes5143$0
99204New patient office or other outpatient visit, 45-59 minutes3636$0
93880Ultrasound of both sides of head and neck blood flow3426$0
93926Ultrasound of one leg arteries or artery grafts1715$0
View full utilization report →

Insurance plans in this area (ZIP 46617)

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Provider's Procedures

KEVIN TAUBMAN (M.D.) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
VASCULAR SURGERYOK93922Ultrasound study of arteries of both arms and legs2424
VASCULAR SURGERYOK93926Ultrasound study of arteries and arterial grafts of one leg or limited1716

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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Frequently asked questions

What unique ID ties claims to KEVIN TAUBMAN (M.D.)?
NPI 1811101132 is assigned to KEVIN TAUBMAN (M.D.) under the national enumeration system.
Is KEVIN TAUBMAN (M.D.) currently active in the NPI registry?
CMS-published data lists KEVIN TAUBMAN (M.D.) as an active registrant.
Does KEVIN TAUBMAN (M.D.) list a primary specialty?
If you are matching referrals, note Vascular Surgery Physician for KEVIN TAUBMAN (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for KEVIN TAUBMAN (M.D.)?
We surface South Bend, Indiana for KEVIN TAUBMAN (M.D.) based on available NPPES addresses.
What if South Bend, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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