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

Shamiram Badal, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760629307

Shamiram Badal, MD is a Family Practice in South Bend, Indiana. Qualified in 1998, 28 years ago. Practices with Saint Joseph Regional Medical Center Inc, a 141-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Illinois.

Years since qualifying
28
Licensed in
CA, IL
In the registry since
2009
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

2930 W Cleveland Rd
South Bend, IN 46628-6090
Phone: (574) 335-8450
Fax: (574) 335-0760
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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 A113428 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 125053883 (IL)

Record details

NPI number1760629307
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 20, 2009
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Saint Joseph Regional Medical Center Inc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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