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

Matthew Pazderka

Individual provider Family Medicine Physician · NPI 1275995219

Matthew Pazderka is a 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
Mailing address8003 Castleway Dr, Indianapolis, IN 46250-1946

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

Other providers in South Bend