Individual provider Active NPI

Kristen Brooke Govert, MD

  • Surgical Oncology Physician
  • Carmel, IN
National Provider Identifier
1497042071
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
01078778A Issued in IN
Practice address
13450 N Meridian St # 135
Carmel, IN 46032-1546
Phone
(317) 582-9355
NPI assigned
Jul 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01078778A IN
Surgical Oncology Physician 2086X0206X 2016-01400 NC
Surgical Oncology Physician 2086X0206X 01078778A IN Primary

Addresses

Primary practice location

13450 N Meridian St # 135
Carmel, IN 46032-1546

Mailing address

13450 N Meridian St Ste 135
Carmel, IN 46032-1473

Other identifiers 2

IdentifierTypeStateIssuer
1497042071MedicaidNC
NC2825MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristen.govert.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170822000862 IN Practitioner - Surgical OncologyPractitioner - General Surgery 8224324116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
Boston University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

13500 N Meridian St
Carmel, IN 46032-1456
Phone (317) 582-7000

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy29
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01078778AINMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Sep 25, 2017 Accepting new patients
St. Vincent Medical Group, Inc. Surgery CurrentSince Sep 25, 2017 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

13450 N Meridian St
Ste 145
Carmel, IN 46032
Phone (317) 338-4303

13450 N Meridian St
Ste 135
Carmel, IN 46032
Phone (317) 582-9355

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

8550 Naab Rd
Ste 200
Indianapolis, IN 46260
Phone (317) 338-9300

8220 Naab Rd
Ste 101
Indianapolis, IN 46260
Phone (317) 338-7780

305 S Berkley Rd
#100
Kokomo, IN 46901
Phone (765) 236-8120

Interoperability endpoints

  • Direct secure messaging: kristen.govert.1@7598.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1497042071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13450 N MERIDIAN ST STE 135",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13450 N MERIDIAN ST # 135",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321546",
            "telephone_number": "317-582-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVERT",
        "first_name": "KRISTEN",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01078778A",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NC",
            "license": "2016-01400",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "IN",
            "license": "01078778A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497042071",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC2825",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristen.govert.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "13450 N Meridian St # 135",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460321546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.