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

Thomas L Poulin, MD

Individual provider Vascular Surgery Physician · NPI 1497732556

Thomas L Poulin, MD is a General Surgery in South Bend, Indiana. Graduated from Indiana University School of Medicine in 1971, 55 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
55
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2005
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

100 Navarre Pl Ste 5500
South Bend, IN 46601-1172
Phone: (574) 647-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 01023972A (IN)

Record details

NPI number1497732556
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 29, 2005
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesVASCULAR SURGERY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1971 (55 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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