St. Mary Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST. MARY MEDICAL CENTER INC

Practice address

200 E 80TH Place
Ste 100
Merrillville, IN 46410-5671

Phone

(219) 769-7536

Fax

(219) 736-1506

NPI assigned

Nov 20, 2006

Organization subpart

Yes

Parent organization

ST. MARY MEDICAL CENTER INCAs reported in NPPES

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

Authorized official

Name

Janice Ryba

Title

Ceo

Phone

(219) 942-0551

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michael Kovacich MD Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• St Mary Medical Center Inc

  • Obstetrics & Gynecology Physician
  • Crown Point, IN
  • NPI 1306170477

  O20040603000490

  Same enrollment
• St Mary Medical Center Inc

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1962504175

  O20040603000490

  Same enrollment
• St. Mary Medical Center

  • Internal Medicine Physician
  • Highland, IN
  • NPI 1700921541

  O20040603000490

  Same enrollment
• St. Mary Medical Center

  • Certified Registered Nurse Anesthetist
  • Hobart, IN
  • NPI 1952458564

  O20040603000490

  Same enrollment

Part of

Ancilla Health Services

Locations

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis A Barajas, MD

  • Family Medicine Physician
  • Portage, IN
  • NPI 1548260680
  NPD (past)
• Brett A Brechner, DO

  • Family Medicine Physician
  • Crown Point, IN
  • NPI 1629079108
  NPD (past)
• Richard J Browne, MD

  • Surgery Physician
  • Hobart, IN
  • NPI 1043217383
  NPD (past)
• John E Carter, MD

  • Family Medicine Physician
  • Hobart, IN
  • NPI 1851326086
  NPD (past)
• Mark O Carter, MD

  • Family Medicine Physician
  • Hobart, IN
  • NPI 1831125806
  NPD (past)
• John Edward Dolatowski Jr., M.D.

  • Internal Medicine Physician
  • Hobart, IN
  • NPI 1205922218
  NPD (past)
• Anna Marie Farmer, FNP-C

  • Family Nurse Practitioner
  • Valparaiso, IN
  • NPI 1831460666
  NPD (past)
• Brent A Jacobus, D.O.

  • Family Medicine Physician
  • Crown Point, IN
  • NPI 1902807589
  NPD (past)
• Jong H Kim, MD

  • Family Medicine Physician
  • Merrillville, IN
  • NPI 1891797569
  NPD (past)
• Michael Kovacich, MD

  • Family Medicine Physician
  • St John, IN
  • NPI 1558363309
  NPD (past)
• Tarangini T Padhya, MD

  • Internal Medicine Physician
  • Merrillville, IN
  • NPI 1588673479
  NPD (past)
• Jonathan G. Patterson, DO

  • Surgery Physician
  • Hobart, IN
  • NPI 1588834881
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1598839730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9660 WICKER AVENUE",
            "city": "ST JOHN",
            "state": "IN",
            "postal_code": "463739487",
            "telephone_number": "219-226-2203",
            "fax_number": "219-226-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 80TH PLACE",
            "address_2": "STE 100",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105671",
            "telephone_number": "219-769-7536",
            "fax_number": "219-736-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARY MEDICAL CENTER INC",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "RYBA",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-942-0551"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200251650",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Kovacich MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Spychala
• SRD Podiatry P.C.
• Anekal B Sreeram, MD
• St. John Therapy Services, Inc.
• St. Mary Medical Center
• Sabrina Stackhouse, MT
• La-Nai Standfield
• Perkin Knot Stang, MD
• Prinn Kay Stang, M.D.,FACOG.,FACS.
• Kristine Lynn Starcevich, CSN, ANP

• Family Medicine Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.