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

Jonathan Vida

Individual provider Family Medicine Physician · NPI 1487041042

Jonathan Vida is a Family Practice in South Bend, Indiana. Graduated from Michigan State University College of Human Medicine in 2015, 11 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
11
Trained at
Michigan State University College of Human Medicine
Licensed in
IN
In the registry since
2015
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Practice location Address checks out

615 N Michigan St 1st Fl Hospitalist Ste
South Bend, IN 46601-1033
Phone: (574) 647-3050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01079813A (IN)

Record details

NPI number1487041042
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 22, 2015
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 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 schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2015 (11 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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