Derrick Forchetti, M.D.
Anatomic Pathology & Clinical Pathology Physician · South Bend, IN
Derrick Forchetti, M.D. is an anatomic pathology & clinical pathology physician with a practice address in South Bend, Indiana, and NPI 1669579058, issued on Sep 20, 2006. Check the license (Indiana 01049241, as entered in NPPES) on the Medical Licensing Board of Indiana; the Medicare figures below come from public CMS files.
- Name
- Derrick Forchetti
- Credential
- M.D.
- Primary taxonomy
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License number
- 01049241 IN
Self-reported in NPPES; status is on the state search - Practice location
- 530 N Lafayette Blvd, South Bend, IN 46601
- Phone
- (574) 234-4176
- Enumerated
- Sep 20, 2006
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (574) 234-1561
- Medicare enrollment
- Enrolled (PECOS I20211117002065); accepts Medicare assignment
- Medical or professional school
- Indiana University School Of Medicine, 1997
- Entity
- Type 1 · individual
8 nearest anatomic pathology & clinical pathology physician records → All 286 in Indiana → Look up another NPI →
Also registered at 530 N Lafayette Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Laura Griesinger, MDAnatomic Pathology & Clinical Pathology Physician1235659905
- Erica Martin, M.D.Anatomic Pathology & Clinical Pathology Physician1821222613
- Rachel Mathis, MDAnatomic Pathology & Clinical Pathology Physician1972840304
- Dan Waxman, MDAnatomic Pathology & Clinical Pathology Physician1427185289
Verify Derrick Forchetti in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Licensing Board of Indiana
Search for license 01049241Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 3 group practices
- Consultants IN Laboratory Medicine OF Greater ToledoToledo, OH
- Legacy Path LLCKalamazoo, MI
- South Bend Medical Foundation IncKalamazoo, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Derrick Forchetti among 286 anatomic pathology & clinical pathology physician records in Indiana
Derrick Forchetti, M.D. is one of 286 anatomic pathology & clinical pathology physician records with a practice address in Indiana. 60% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 30% of them.
- NPI issued2006 · 30% of these records are older, 45% newer
- In a Medicare fileYes · 60% of these records are
- In the CMS Doctors and Clinicians fileYes · 57% of these records are
- Graduated1997 · median 1999 among the 162 with a school on file
- Record last updated2007 · 64% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207ZP0102X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Anatomic Pathology & Clinical Pathology Physician providers in Indiana
There are 286 anatomic pathology & clinical pathology physician records in Indiana.
All 286 in Indiana → Every provider in South Bend → Anatomic Pathology & Clinical Pathology Physician nationwide →
The 8 anatomic pathology & clinical pathology physician records with the nearest ZIP codes
- Nicole Anest, M.D.South Bend, IN 466011255438644
- Alfonso Cardenas, M.D.South Bend, IN 466011699872085
- Francisco Deogracias, M.D.South Bend, IN 466011497852883
- James Dyer, M.D.South Bend, IN 466011124125513
- Luis Galup, M.D.South Bend, IN 466011114024403
- Nita Gerig, M.D.South Bend, IN 466011982703419
- Rick Hoover, M.D.South Bend, IN 466011750473708
- David Jentz, M.D.South Bend, IN 466011952493918
Common questions
What is Derrick Forchetti, M.D.'s NPI number?
Derrick Forchetti, M.D.'s National Provider Identifier (NPI) is 1669579058, issued on Sep 20, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Derrick Forchetti, M.D. located?
The NPPES record lists a practice address at 530 N Lafayette Blvd, South Bend, IN, 46601. Phone: (574) 234-4176. Providers update this record themselves, so call before visiting.
How can I verify Derrick Forchetti, M.D.'s license?
NPPES lists Indiana license number 01049241, as entered by the provider. Search the Medical Licensing Board of Indiana at https://www.in.gov/pla/professions/physicians-home/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.