Saint Joseph Regional Medical Center-South Bend Campus, Inc.
Organization Active NPI General Acute Care Hospital · Mishawaka, IN
NPI 1023965795 · NPPES record last updated Jun 29, 2026
Key facts
- NPI
- 1023965795
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC.
- Practice address
- 611 E Douglas Rd Ste 123B
Mishawaka, IN 46545-1464 - Phone
- (574) 948-4420
- NPI assigned
- Mar 12, 2026
- Organization subpart
- Yes
- Parent organization (as reported)
- SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC.
Authorized official
- Name
- Cheryl Swihart
- Title
- Provider Enrollment
- Phone
- (574) 335-8717
Owners & managing parties with NPI records 4
-
Craig B Miller, M.D.
-
Paula Toth-Russell, M.D.
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 7
Affiliated clinicians 511
-
Abigail Abbs, NP
-
Maher Abu-Hamdan, M.D.
-
Frank A Addo, MD
-
Roni Aizigov, CRNA, NP-C
-
Ismail Al-Ani, MD
-
Dahan Hussein Al-Fadhl, M.D.
-
Londa Aldridge, FNP
-
Sohaib Aleem, MD
-
Nicole Anest, M.D.
-
Bilal Ansari, M.D.
-
John G Aranda, MD
-
Kimberly Ann Artman, FNP-C
-
Sylvana Atallah, M.D.
-
Mackenzie Austgen, M.D.
-
Shamiram Badal, M.D.
-
Christopher R Balint, D.O.
-
Natali M Balog, MD
Medicare Care Compare: Hospital
- Listed as
- Saint Joseph Regional Medical Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Hospital certification: CCN 150012
- Legal name
- SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS INC
- Doing business as
- SAINT JOSEPH REGIONAL MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Aug 31, 2017
- Beds
- 301
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Christopher Karam |
Contracted Managing Employee |
Jan 1, 2017 | |
| Corporate Director |
Jan 1, 2017 | ||
| James Foster |
Corporate Director |
Jan 1, 2012 | |
| Shannon Cermak |
Corporate Director |
Jan 1, 2026 | |
| Melissa Lukasick |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Jan 1, 2025 | ||
| Jonathan Geise |
Corporate Officer |
Jan 1, 2026 | |
| Marion Fulce |
Corporate Director |
Jan 1, 2025 | |
| Robert L Sink |
Contracted Managing Employee |
Apr 21, 2022 | |
| Corporate Officer |
Jan 1, 2025 | ||
| Craig B Miller |
Corporate Director |
Apr 21, 2022 | |
| W-2 Managing Employee |
Jan 1, 2017 | ||
| Jeffrey Mathis |
Corporate Officer |
Jan 1, 2025 | |
| Rodolfo Monterrosa |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Apr 21, 2022 | ||
| Paula M Toth-Russell |
Corporate Director |
Jan 1, 2017 | |
| W-2 Managing Employee |
Sep 8, 1994 | ||
| Jacqueline Wright |
Corporate Director |
Apr 21, 2022 | |
| Saint Joseph Regional Medical Center Inc |
5% Or Greater Indirect Ownership Interest | Jun 1, 1984 | 100% |
| Trinity Health Corporation |
5% Or Greater Indirect Ownership Interest | Jan 1, 2003 | 100% |
| Chris Rowland |
Corporate Director |
Jan 1, 2018 | |
| Dana Neer |
Corporate Director |
Apr 21, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040511000250 | IN | Part a Provider - Hospital | 3476451790 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: South Bend, IN; Plymouth, IN; Mishawaka, IN |
National Provider Directory
- Tax ID family
- St Josephs Med Ctr
- Part of
- St Josephs Med Ctr
Locations
611 E Douglas Rd
Ste 123B
Mishawaka, IN 46545
Phone (574) 948-4420
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
611 E Douglas Rd Ste 123B
Mishawaka, IN 46545-1464
Mailing address
611 E Douglas Rd Ste 123B
Mishawaka, IN 46545-1464
Phone (574) 948-4420
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300129341 | Medicaid | IN |
Other names
- Outpatient Infusion Center
Other providers in Mishawaka, IN
- Saint Joseph Community Hospital of Mishawaka
- Saint Joseph Community Hospital of Mishawaka, Inc
- Saint Joseph Pace
- Saint Joseph Regional Medical Center-South Bend Campus, Inc
- Saint Joseph Regional Medical Center-South Bend Campus, Inc
- Saint Joseph Regional Medical Center-South Bend Campus, Inc.
- Saint Joseph Regional Medical Center-South Bend Campus, Inc.
- Saint Joseph Regional Medical Center-South Bend Campus, Inc.
- Saint Joseph Regional Medical Center-South Bend Campus, Inc.
- Saint Joseph Regional Medical Center-South Bend Campus, Inc.
All providers in Mishawaka, IN · General Acute Care Hospital in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.