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

Dr. Sam Fuller, MD

Individual provider Surgery of the Hand (Surgery) Physician · NPI 1649569484

Dr. Sam Fuller, MD is a Hand Surgery in South Bend, Indiana. Graduated from University of Chicago, Pritzker School of Medicine in 2009, 17 years ago. Practices with Central Indiana Orthopedics LLC, a 146-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
17
Trained at
University of Chicago, Pritzker School of Medicine
Licensed in
IN
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

53880 Carmichael Dr
South Bend, IN 46635-1567
Phone: (574) 247-9441
Fax: (574) 247-9442
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 303 S Nappanee St Ste F, Elkhart, IN 46514-2066 — (574) 247-9441
  • 60160 Bodnar Blvd, Mishawaka, IN 46544-9338 — (574) 247-9441
  • 2349 Lake Ave Ste 201, Plymouth, IN 46563-7837 — (574) 247-9441

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 01075560A (IN)
Surgery of the Hand (Surgery) Physician Taxonomy 2086S0105X · Licence 01075560A (IN)

Record details

NPI number1649569484
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2011
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024
Mailing address3600 W Bethel Ave, Muncie, IN 47304-5407

Medicare enrollment

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

Medicare specialtyHAND SURGERY
Also practisesORTHOPEDIC SURGERY, PLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Central Indiana Orthopedics Llc — 146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare