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

John A Whitney, MD

Individual provider Family Medicine Physician · NPI 1205240637

John A Whitney, MD is a Family Practice in South Bend, Indiana. Qualified in 2014, 12 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
12
Licensed in
IN
In the registry since
2014
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

2235 Cleveland Rd
South Bend, IN 46628-3529
Phone: (574) 647-4530
Fax: (574) 647-2285
Show map & directions

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 01076361A (IN)

Record details

NPI number1205240637
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2014
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022
Mailing address710 N. Niles Ave, South Bend, IN 46617-1924

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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