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

Jon Blake Chadwell, MD

Individual provider Otolaryngology/Facial Plastic Surgery Physician · NPI 1255380903

Jon Blake Chadwell, MD is an Otolaryngology in South Bend, Indiana. Graduated from University of Cincinnati College of Medicine in 2000, 26 years ago. Practices with The South Bend Clinic LLC, a 170-clinician group and accepts Medicare assignment. Licensed in Colorado, Indiana, Kentucky and Ohio.

Years since qualifying
26
Trained at
University of Cincinnati College of Medicine
Licensed in
CO, IN, KY, OH
In the registry since
2006
Specialties on file
4
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

6301 University Commons Ste 360
South Bend, IN 46635-1571
Phone: (574) 232-4800
Fax: (574) 280-4810
Show map & directions

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

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence 01061815A (IN)
Otolaryngology/Facial Plastic Surgery Physician Taxonomy 207YX0905X · Licence 43615 (CO)
Otolaryngology/Facial Plastic Surgery Physician Taxonomy 207YX0905X · Licence 35 085143 (OH)
Otolaryngology/Facial Plastic Surgery Physician Taxonomy 207YX0905X · Licence 39547 (KY)

Record details

NPI number1255380903
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 9, 2006
Last updated in NPPESMarch 7, 2023
Mailing address6301 University Commons, Suite 360, South Bend, IN 46635-1571

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice The South Bend Clinic Llc — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount