Active NPI
Kristen Brooke Govert, MD
- Surgical Oncology Physician
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 01078778A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497042071 | Medicaid | NC | |
| NC2825 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- Boston University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Ascension St Vincent Hospital
- Ascension St Vincent Carmel
- Ascension St Vincent Kokomo
- Ascension St Vincent Fishers
- Ascension St Vincent Anderson
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 29 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01078778A | IN | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| St. Vincent Medical Group, Inc. | Surgery | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Winchester, IN
- NPI 1144513375
-
- Internal Medicine Physician
- Carmel, IN
- NPI 1811881527
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1558686436
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fishers, IN
- NPI 1881956167
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1780625442
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1679578850
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1639124134
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.