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

Dyllan Tiburzi

Individual provider Family Medicine Physician · NPI 1326536095

Dyllan Tiburzi is a Family Practice in South Bend, Indiana. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2018, 8 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
8
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IN
In the registry since
2018
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Practice location Address checks out

2235 Cleveland Rd
South Bend, IN 46628-3529
Phone: (574) 647-4530
Fax: (574) 647-2285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 714 N Michigan St, South Bend, IN 46601-1035 — (574) 647-7477

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01085663A (IN)

Record details

NPI number1326536095
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 27, 2018
Last updated in NPPESOctober 9, 2023
Certification dateOctober 9, 2023
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2018 (8 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Bend