NPIMap

Organization Active NPI

St. Vincent Carmel Hospital, Inc.

  • General Acute Care Hospital
  • Carmel, IN
National Provider Identifier
1639124134
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
060039321 Issued in IN
Legal business name
ST. VINCENT CARMEL HOSPITAL, INC.
Practice address
13500 N Meridian St
Carmel, IN 46032-1456
Phone
(317) 582-7380
Fax
(317) 582-7492
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
Gary Fammartino
Title
President
Phone
(317) 582-7123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 060039321 IN Primary

Addresses

Primary practice location

13500 N Meridian St
Carmel, IN 46032-1456

Mailing address

13500 N Meridian St
Carmel, IN 46032-1456
Phone (317) 582-7380

Other identifiers 1

IdentifierTypeStateIssuer
200473800AMedicaidIN

Other names 1

  • Ascension St. Vincent Carmel Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040109000058 IN Part A Provider - Hospital 9931009800 Practice locations: Carmel, IN

Hospital certification: CCN 150157

Legal name
ST. VINCENT CARMEL HOSPITAL, INC.
Doing business as
ASCENSION ST. VINCENT CARMEL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 14, 2004
Last certification
Jan 31, 2019
Beds
107
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Oct 17, 2003 in IN
Enrollment address
13500 N Meridian St
Ste 155
Carmel, IN 46032-1456
Main/Primary Hospital Location
Hospital subgroups
Acute care

Hospital certification: CCN 152015

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SETON SPECIALTY HOSPITAL, CARMEL
Certification status
Terminated Voluntary: merger or closure, May 10, 2007
Provider type (POS)
Hospital – Long-term
Participating since
Jun 1, 1997
Last certification
Oct 26, 2004
Beds
38
Ownership / control type
Church
Facility address
13500 N Meridian, 2ND Floor
Carmel, IN 46032

Care Compare: Hospital

Medicare Care Compare
Listed as
Ascension St Vincent CarmelCCN 150157
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0352291St Vincent Carmel Hospital and Health13500 N Meridian St, Carmel, IN 46032AccreditationFeb 8, 2027
15D0931997Ascension St Vincent Carmel Hospital13500 N Meridian St, Carmel, IN 46032AccreditationMay 14, 2028

National Provider Directory

National Provider Directory
Tax ID family
St Vincent Carmel Hospit3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

13420 N Meridian St
Carmel, IN 46032
Phone (317) 582-9500

13500 N Meridian St
Ste 155
Carmel, IN 46032
Phone (317) 582-7000

13450 N Meridian St
Carmel, IN 46032
Phone (317) 582-7360

13420 N Meridian St
Ste 100
Carmel, IN 46032
Phone (317) 582-7474

13420 N Meridian St
Ste 280
Carmel, IN 46032
Phone (317) 582-8170

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kevin P Speer Individual Corporate OfficerPresident & Ceo - Home Office May 1, 2023
Cynthia Dawn Adams Individual Corporate DirectorBoard Member Jul 1, 2021
Michael Todd Emmons Individual Corporate DirectorBoard Member Jul 1, 2022
Leo J Dierckman Individual Corporate DirectorChair Jan 1, 2005
Georgiana Reynal Individual Corporate DirectorBoard Member Jul 1, 2022
J Chris Cooke Individual Corporate DirectorBoard Member Jul 1, 2022
Eileen Flavin Individual Corporate DirectorBoard Member Jul 1, 2022
Michael Austin Individual Corporate DirectorBoard Member Jul 1, 2023
Ann Varner Individual Corporate DirectorBoard Member Jul 1, 2023
Martha J Hoshaw Individual Corporate DirectorBoard Member Jul 1, 2022
Willie Stroman Individual Corporate DirectorBoard Member Jul 1, 2022
Becky Jacobson Individual Corporate OfficerVP of Finance Jul 1, 2019
W-2 Managing EmployeeVP of Finance Jul 1, 2019
Ascension Health Organization, Saint Louis, MO Non-profit Operational/Managerial Control Oct 17, 2003
St Vincent Health Inc Organization, Indianapolis, IN Non-profit Operational/Managerial Control Oct 17, 2003
Parveen Chand Individual Corporate OfficerPresident Jul 1, 2022
W-2 Managing EmployeePresident Jul 1, 2022

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 166

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 166

Practitioners & affiliated clinicians

Practitioners 53

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

View all 53

Affiliated clinicians 492

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 492

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1639124134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321456",
            "telephone_number": "317-582-7380",
            "fax_number": "317-582-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321456",
            "telephone_number": "317-582-7380",
            "fax_number": "317-582-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT CARMEL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "FAMMARTINO",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-582-7123"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "060039321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200473800A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension St. Vincent Carmel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.