NPIMap

Organization Active NPI

Summit Medical Group, Inc.

Doing business as St. Elizabeth Physicians

  • Foot & Ankle Surgery Podiatrist
  • Crestview Hills, KY
National Provider Identifier
1043188378
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SUMMIT MEDICAL GROUP, INC.
Doing business as
St. Elizabeth Physicians
Practice address
351 Centre View Blvd
Crestview Hills, KY 41017-3477
Phone
(859) 212-0175
Fax
(859) 331-0325
NPI assigned
Oct 28, 2025
Last updated
Oct 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Maria Rankin
Title
Avp - Revenue Cycle
Phone
(859) 344-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

351 Centre View Blvd
Crestview Hills, KY 41017-3477

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 344-5555

Other names 1

  • St. Elizabeth Physicians Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251208000237 KY DME Supplier - Physician - Podiatry 2163326240 Practice locations: Crestview Hills, KY

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0696275St Elizabeth Physicians Women's Health351 Centre View Blvd, Crestview Hills, KY 41017Provider-performed microscopyMay 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
Summit Medical Group Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations (25 of 43)

107 Bridgeway St
Ste 100
Aurora, IN 47001
Phone (812) 926-3133

112 Linksway
Aurora, IN 47001
Phone (812) 496-8785

374 Northside Dr
Batesville, IN 47006
Phone (812) 496-8782

12827 Lenover St
Dillsboro, IN 47018
Phone (812) 432-3600

19849 Stateline Rd
Lawrenceburg, IN 47025
Phone (812) 496-8774

19908 Augusta Dr
Lawrenceburg, IN 47025
Phone (812) 496-2808

19908 Augusta Dr
Ste 1
Lawrenceburg, IN 47025
Phone (812) 496-2808

2018 Jamison Dr
Lawrenceburg, IN 47025
Phone (812) 496-8772

24129 Professional Park Dr
Lawrenceburg, IN 47025
Phone (812) 496-8773

605 Wilson Creek Rd
Ste 102
Lawrenceburg, IN 47025
Phone (812) 539-2599

124 W Indian Trl
Milan, IN 47031
Phone (812) 496-8784

300 Commercial Dr
Alexandria, KY 41001
Phone (859) 344-5481

6105 1st Financial Dr
Burlington, KY 41005
Phone (859) 525-1846

1001 Scott St
Covington, KY 41011
Phone (859) 291-5555

1500 James Simpson Jr Way
Ste 201
Covington, KY 41011
Phone (859) 344-5481

1500 James Simpson Jr Way
Ste 301
Covington, KY 41011
Phone (859) 344-5517

4341 Winston Ave
Covington, KY 41015
Phone (606) 431-7660

4387 Winston Ave
Covington, KY 41015
Phone (859) 431-7300

230 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 341-3383

340 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-8777

380 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-3015

100 Blackburn Ln
Dry Ridge, KY 41035
Phone (859) 823-5441

19 S Main St
Dry Ridge, KY 41035
Phone (606) 824-7111

20 Medical Village Dr
Ste 168
Edgewood, KY 41017
Phone (606) 341-0080

20 Medical Village Dr
Ste 338
Edgewood, KY 41017
Phone (606) 341-5035

Practitioners & affiliated clinicians

Practitioners 1,032

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,032

NPI Registry JSON

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1043188378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-344-5555",
            "fax_number": "859-344-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 CENTRE VIEW BLVD",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173477",
            "telephone_number": "859-212-0175",
            "fax_number": "859-331-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "RANKIN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "AVP - REVENUE CYCLE",
        "authorized_official_telephone_number": "859-344-5555"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Elizabeth Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crestview Hills, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.