Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Matthew Pazderka

Individual provider Family Medicine Physician · NPI 1275995219

Matthew Pazderka is registered under Family Practice in South Bend, Indiana. Graduated from University of Nebraska College of Medicine in 2016, 10 years ago. Practices with Lakeland Immediate Care Center, a 24-clinician group and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
10
Trained at
University of Nebraska College of Medicine
Licensed in
IN, MI
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

765 S Michigan St
South Bend, IN 46601-3101
Phone: (574) 235-7990
Fax: (574) 847-7201
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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 01099563A (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301117376 (MI)

Record details

NPI number1275995219
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2016
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Lakeland Immediate Care Center — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients23
Services billed 44 a service is one billed item, such as a visit, a test or a procedure
Average patient age69

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Lakeland Hospital, St Joseph Hospital · St Joseph, MI · listed as Lakeland Hospital at Niles and St Joseph, Inc
  • Corewell Health Lakeland Hospitals St Joseph Hospital Home health agency · Benton Harbor, MI

Colleagues at Lakeland Immediate Care Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 24 clinicians in the practice; 12 are shown here.

Other providers in South Bend