NPIMap

Organization Active NPI

Saint Joseph Regional Medical Center-South Bend Campus, Inc.

  • General Acute Care Hospital
  • Mishawaka, IN
National Provider Identifier
1023965795
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 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
Last updated
Jun 29, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cheryl Swihart
Title
Provider Enrollment
Phone
(574) 335-8717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

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 1

IdentifierTypeStateIssuer
300129341MedicaidIN

Other names 1

  • Outpatient Infusion Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023965795. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Saint Joseph Regional Medical CenterCCN 150012 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Sjrmc Sobend Campus8 organizations share this tax ID, including this one
Part of
Sjrmc Sobend Campus

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

611 E Douglas Rd
Ste 123B
Mishawaka, IN 46545
Phone (574) 948-4420

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christopher Karam Individual Contracted Managing EmployeePresident Jan 1, 2017
Corporate DirectorBoard Member Jan 1, 2017
James Foster Individual Corporate DirectorBoard Member Jan 1, 2012
Shannon Cermak Individual Corporate DirectorBoard Member Jan 1, 2026
Melissa Lukasick Individual Corporate OfficerCfo Jan 1, 2025
Corporate DirectorTreasurer Jan 1, 2025
Jonathan Geise Individual Corporate OfficerBoard Member Jan 1, 2026
Marion Fulce Individual Corporate DirectorBoard Member Jan 1, 2025
Robert L Sink Individual Contracted Managing EmployeeVP of Finance Apr 21, 2022
Corporate OfficerAssistant Treasurer Jan 1, 2025
Craig B Miller Individual Corporate DirectorBoard Member Apr 21, 2022
W-2 Managing EmployeeW2 Physician 1376571265 Jan 1, 2017
Jeffrey Mathis Individual Corporate OfficerSecretary Jan 1, 2025
Rodolfo Monterrosa Individual Corporate OfficerChair Jan 1, 2025
Corporate DirectorBoard Member Apr 21, 2022
Paula M Toth-Russell Individual Corporate DirectorBoard Member Jan 1, 2017
W-2 Managing EmployeeW2 Physician 1588756712 Sep 8, 1994
Jacqueline Wright Individual Corporate DirectorBoard Member Apr 21, 2022
Saint Joseph Regional Medical Center Inc Organization, Mishawaka, IN Created for acquisition, Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 1984 100%
Trinity Health Corporation Organization, Livonia, MI Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jan 1, 2003 100%
Chris Rowland Individual Corporate DirectorBoard Member Jan 1, 2018
Dana Neer Individual Corporate DirectorBoard Member Apr 21, 2022

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 511

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 511

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1023965795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E DOUGLAS RD STE 123B",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451464",
            "telephone_number": "574-948-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E DOUGLAS RD STE 123B",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451464",
            "telephone_number": "574-948-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC.",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "SWIHART",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "574-335-8717"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300129341",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outpatient Infusion Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.