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

Thomas Larsen, MD

Individual provider Family Medicine Physician · NPI 1285998146

Thomas Larsen, MD is a Family Practice in South Bend, Indiana. Qualified in 2008, 18 years ago. Practices with The South Bend Clinic LLC, a 170-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
18
Licensed in
IN
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4440 Portage Ave
South Bend, IN 46628-9570
Phone: (574) 204-6200
Fax: (574) 239-1520
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01075173A (IN)

Record details

NPI number1285998146
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2012
Last updated in NPPESSeptember 9, 2015
Mailing address4440 Portage Ave, South Bend, IN 46628-9570

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice The South Bend Clinic Llc — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in South Bend