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

Kellen Mastick, MD

Individual provider Internal Medicine Physician · NPI 1538655709

Kellen Mastick, MD is a Hospitalist in South Bend, Indiana. Qualified in 2018, 8 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group and accepts Medicare assignment. Licensed in Indiana and North Dakota.

Years since qualifying
8
Licensed in
IN, ND
In the registry since
2018
Specialties on file
2
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

615 N Michigan St 1st Fl Hospitalist Ste
South Bend, IN 46601-1033
Phone: (574) 647-3050
Fax: (574) 647-4320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01087004A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 15248 (ND)

Record details

NPI number1538655709
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2018
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 specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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