Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Richard W Skupski, MD

Individual provider Anesthesiology Physician · NPI 1396722989

Dr. Richard W Skupski, MD is an Anesthesiology in South Bend, Indiana. Graduated from Wayne State University School of Medicine in 1986, 40 years ago. Practices with Anesthesia Associates of Laporte PC, a 15-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia and Indiana.

Years since qualifying
40
Trained at
Wayne State University School of Medicine
Licensed in
GA, IN
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

416 E Monroe St Ste 200
South Bend, IN 46601-2360
Phone: (574) 232-8119
Fax: (574) 288-0235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 — (470) 644-1274
  • 600 East Blvd, Elkhart, IN 46514-2483 — (574) 524-8130

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 01040026A (IN)
Anesthesiology Physician Taxonomy 207L00000X · Licence 94508 (GA)

Record details

NPI number1396722989
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 27, 2005
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Anesthesia Associates Of Laporte Pc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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