Active NPI
St. Vincent Medical Group, Inc.
- Urgent Care Clinic/Center
- Carmel, IN
National Provider Identifier
1053217455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- ST. VINCENT MEDICAL GROUP, INC.
- Practice address
- 13250 Hazel Dell Pkwy Ste 104
Carmel, IN 46033-8527 - Phone
- (317) 415-6900
- NPI assigned
- Oct 14, 2026
- Last updated
- Oct 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randall Fraczek
- Title
- Interim Cfo - Amg Indiana
- Phone
- (586) 303-6219
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | Primary |
Addresses
Primary practice location
13250 Hazel Dell Pkwy Ste 104
Carmel, IN 46033-8527
Mailing address
13250 Hazel Dell Pkwy Ste 104
Carmel, IN 46033-8527
Phone (317) 415-6900
Other practice location 1
4778 S Scatterfield Rd
Anderson, IN 46013-2908
Phone (765) 646-6331
Other practice location 2
10801 N Michigan Rd Ste 110
Zionsville, IN 46077-8171
Phone (317) 344-1269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791936000000",
"number": "1053217455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13250 HAZEL DELL PKWY STE 104",
"city": "CARMEL",
"state": "IN",
"postal_code": "460338527",
"telephone_number": "317-415-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13250 HAZEL DELL PKWY STE 104",
"city": "CARMEL",
"state": "IN",
"postal_code": "460338527",
"telephone_number": "317-415-6900"
}
],
"practiceLocations": [
{
"address_1": "4778 S Scatterfield Rd",
"address_purpose": "LOCATION",
"city": "Anderson",
"state": "IN",
"postal_code": "460132908",
"country_code": "US",
"telephone_number": "765-646-6331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10801 N Michigan Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Zionsville",
"state": "IN",
"postal_code": "460778171",
"country_code": "US",
"telephone_number": "317-344-1269",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ST. VINCENT MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-14",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A",
"authorized_official_last_name": "FRACZEK",
"authorized_official_first_name": "RANDALL",
"authorized_official_title_or_position": "INTERIM CFO - AMG INDIANA",
"authorized_official_telephone_number": "586-303-6219"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
- St. Vincent Health Wellness and Preventive Care Institute, Inc.
- St. Vincent Health Wellness and Preventive Care Institute, Inc. (Ascension St. Vincent Wellness)
- St. Vincent Health Wellness and Preventive Care Institute, Inc.
- St. Vincent Heart Center of Indiana, LLC (Ascension St. Vincent Heart Center)
- St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
- St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
- St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
- St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
- St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
- St. Vincent Physician Services Hospital and Health Care Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.