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

Nicholas John Datzman, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457569782

Nicholas John Datzman, MD is an Anesthesiology in South Bend, Indiana. Graduated from Indiana University School of Medicine in 2006, 20 years ago. Practices with Australia Anesthesia Management LLC, a 57-clinician group and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
20
Trained at
Indiana University School of Medicine
Licensed in
IN, MI
In the registry since
2007
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

416 E Monroe St Ste 200
South Bend, IN 46601-2371
Phone: (574) 232-8119
Fax: (574) 288-0235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 01066396A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301088526 (MI)

Record details

NPI number1457569782
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2007
Last updated in NPPESDecember 6, 2010
Mailing address416 E Monroe St, Ste. 200, South Bend, IN 46601-2371

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Australia Anesthesia Management Llc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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