Organization Active NPI

St. Vincent Medical Group, Inc.

  • Urgent Care Clinic/Center
  • Carmel, IN
National Provider Identifier
1053217455
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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)CodeLicenseStatePrimary
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

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.

Verify at the official NPI Registry.