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

Philip Richard Kavanagh, DO

Individual provider Emergency Medicine Physician · NPI 1174600555

Philip Richard Kavanagh, DO is an Emergency Medicine in South Bend, Indiana. Graduated from Midwestern University, Chicago College of Osteopathic Med in 1995, 31 years ago. Practices with South Bend Emergency Physicians Inc, a 50-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
31
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
IN
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

615 N Michigan St
South Bend, IN 46601-1033
Phone: (574) 647-7459
Fax: (574) 647-3658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 02002062A (IN)

Record details

NPI number1174600555
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESFebruary 2, 2010
Mailing address3355 Douglas Rd, Suite 300, South Bend, IN 46635-1781

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 1995 (31 years in practice)
Group practice South Bend Emergency Physicians Inc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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