NPIMap

Organization Active NPI

St Catherine Hospital Inc

  • Anesthesiology Physician
  • East Chicago, IN
National Provider Identifier
1649346537
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ST CATHERINE HOSPITAL INC
Practice address
4321 Fir Street
East Chicago, IN 46312
Phone
(219) 392-1700
NPI assigned
Nov 24, 2006
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ST CATHERINE HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Mrs. Char Kullerstrand
Title
Regional Director Patient Financial
Phone
(219) 934-8994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X IN Primary

Addresses

Primary practice location

4321 Fir Street
East Chicago, IN 46312

Mailing address

4321 Fir St
East Chicago, IN 46312-3049
Phone (219) 392-7004

Other identifiers 1

IdentifierTypeStateIssuer
100268330AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031118000149 IN Part B Supplier - Clinic/Group Practice 1052225604 Receives reassigned benefits from 76 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: East Chicago, IN

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Reed Lewis Assoc8 organizations share this tax ID, including this one
Part of
Reed Lewis Assoc

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1649346537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 FIR ST",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123049",
            "telephone_number": "219-392-7004",
            "fax_number": "219-934-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 FIR STREET",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "46312",
            "telephone_number": "219-392-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CATHERINE HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST CATHERINE HOSPITAL INC",
        "enumeration_date": "2006-11-24",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "KULLERSTRAND",
        "authorized_official_first_name": "CHAR",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR PATIENT FINANCIAL",
        "authorized_official_telephone_number": "219-934-8994",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100268330A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Chicago, IN

Sources for this page

  • 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.