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

Philip Richard Persino

Individual provider Otolaryngology Physician · NPI 1891291563

Philip Richard Persino is an Otolaryngology in South Bend, Indiana. Graduated from Chicago College of Medicine and Surgery in 2018, 8 years ago. Practices with The South Bend Clinic LLC, a 170-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
8
Trained at
Chicago College of Medicine and Surgery
Licensed in
IN
In the registry since
2018

Practice location Address checks out

6301 University Commons Ste 360
South Bend, IN 46635-3500
Phone: (574) 204-6522
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 211 N Eddy St, South Bend, IN 46617-3096 — (574) 204-6522

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 01089151A (IN)

Record details

NPI number1891291563
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 2, 2018
Last updated in NPPESJuly 13, 2023
Certification dateJuly 13, 2023

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolCHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduated 2018 (8 years in practice)
Group practice The South Bend Clinic Llc — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Bend