NPIMap

Organization Active NPI

Physicians Medical Center LLC

  • General Acute Care Hospital
  • New Albany, IN
National Provider Identifier
1689857385
Registry record updated Jan 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PHYSICIANS MEDICAL CENTER LLC
Practice address
4023 Reas LN
New Albany, IN 47150-2228
Phone
(812) 206-7660
Fax
(812) 206-7650
NPI assigned
Dec 17, 2007
Last updated
Jan 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2017

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

Authorized official

Name
Mr. Dennis Medley
Title
Ceo/Administrator
Phone
(812) 206-7624

Specialties & licenses 1

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

Addresses

Primary practice location

4023 Reas LN
New Albany, IN 47150-2228

Mailing address

4023 Reas LN
New Albany, IN 47150-2228
Phone (812) 206-7660

Other identifiers 1

IdentifierTypeStateIssuer
200916560 AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080505000191 IN Part A Provider - Hospital 4981783800 Practice locations: Floyds Knobs, IN; New Albany, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689857385. Details of each certification follow.

Hospital certification: CCN 150172

Legal name
PHYSICIANS MEDICAL CENTER LLC
Doing business as
PHYSICIANS MEDICAL CENTER LLC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 30, 2008
Last certification
Oct 30, 2008
Beds
12
Ownership / control type
Physician ownership
Organization structure
LLCProprietary
Enrollment address
4023 Reas LN
New Albany, IN 47150-2228
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Physicians' Medical Center LLCCCN 150172 · All quality measures
Type
Acute Care Hospitals
Ownership
Physician
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

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
15D1083834Physician's Medical Center, LLC4023 Reas Lane, New Albany, IN 47150AccreditationJun 1, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 26

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

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Dec 14, 2022 27.8%
Sca Ahn JV Holdings II, LLC Organization, Birmingham, AL LLC 5% Or Greater Direct Ownership Interest Dec 14, 2022 54.52%
Ryan P Brown Individual Operational/Managerial ControlBoard Member Jan 20, 2024
Howard F Preuss Individual Operational/Managerial ControlBoard Member Jan 1, 2024 1.27%
Collaborative Care Holdings LLC Organization, Minnetonka, MN LLC 5% Or Greater Indirect Ownership Interest Dec 14, 2022 27.8%
Daniel Riggs Individual Operational/Managerial ControlManager, Board Member Dec 14, 2022
Scai Holdings LLC Organization, Minnetonka, MN LLC 5% Or Greater Indirect Ownership Interest Dec 14, 2022 27.8%
United Healthcare Services Inc Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Dec 14, 2022 27.8%
Melissa Bailey Individual Operational/Managerial ControlManager, Board Member Dec 14, 2022
Richard N Medley Individual Operational/Managerial ControlBoard Member Jan 1, 2024 1.43%
Sca Holdco, Inc. Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Dec 14, 2022 27.8%
Stephanie Perna Individual Corporate OfficerRegional VP Mar 25, 2025 100%
Operational/Managerial ControlBoard Member Mar 25, 2025
SC Affiliates LLC Organization, Birmingham, AL LLC 5% Or Greater Indirect Ownership Interest Dec 14, 2022 27.8%
Surgical Care Affiliates LLC Organization, Birmingham, AL LLC 5% Or Greater Indirect Ownership Interest Dec 14, 2022 27.8%
Operational/Managerial Control Dec 14, 2022
Optumhealth Holdings LLC Organization, Minnetonka, MN LLC 5% Or Greater Indirect Ownership Interest Dec 14, 2022 27.8%
Optum Inc Organization, Eden Prairie, MN Corporation 5% Or Greater Indirect Ownership Interest Dec 14, 2022 27.8%
Robert a Goodin Individual Operational/Managerial ControlBoard Member Jan 1, 2024 1.09%
Yuchi Song Individual Operational/Managerial ControlBoard Member May 27, 2026
Steven P Harrell Individual Operational/Managerial ControlBoard Member Jan 1, 2024 1.69%
Brian T Heimer Individual Operational/Managerial ControlBoard Member Aug 6, 2025
Abdul Jabbar Individual Operational/Managerial ControlBoard Member Jan 1, 2024 1.69%
Trevor M Soergel Individual Operational/Managerial ControlBoard Member Jan 1, 2024 0.84%
Scott D. Kuiper Individual Operational/Managerial ControlBoard Member Jan 1, 2024 1.09%
Ganesh S Rao Individual Operational/Managerial ControlBoard Member Jun 1, 2025
Tiffany Sorg Individual Corporate OfficerCeo/Administrator Jun 9, 2025 100%
W-2 Managing EmployeeCeo/Administrator Jun 9, 2025 100%
American Health Network of Indiana LLC Organization, Indianapolis, IN LLC 5% Or Greater Indirect Ownership Interest Dec 14, 2022 26.71%

Owners & managing parties with NPI records 19

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

View all 19

Facilities with the same owner 4

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

  • Advanced Surgical Hospital LLC
    • General Acute Care Hospital
    • Washington, PA
    • NPI 1528398534

    Collaborative Care Holdings LLC, Optum Inc, Optumhealth Holdings LLC, SC Affiliates LLC, Sca Holdco, Inc., Scai Holdings LLC, Surgical Care Affiliates LLC, United Healthcare Services Inc

    CMS ownership
  • Austin Center for Outpatient Surgery LP

    dba Northwest Hills Surgical Hospital

    • Special Hospital
    • Austin, TX
    • NPI 1245292630

    Collaborative Care Holdings LLC, Optum Inc, Optumhealth Holdings LLC, Sca Holdco, Inc., Scai Holdings LLC, Surgical Care Affiliates LLC, United Healthcare Services Inc

    CMS ownership
  • Nebraska Spine Hospital, LLC
    • Special Hospital
    • Omaha, NE
    • NPI 1649595448

    Collaborative Care Holdings LLC, Optum Inc, Optumhealth Holdings LLC, SC Affiliates LLC, Sca Holdco, Inc., Scai Holdings LLC, Surgical Care Affiliates LLC, United Healthcare Services Inc

    CMS ownership
  • Treasure Valley Hospital Limited Partnership
    • Special Hospital
    • Boise, ID
    • NPI 1720040132

    Collaborative Care Holdings LLC, Optum Inc, Optumhealth Holdings LLC, Sca Holdco, Inc., Scai Holdings LLC, Surgical Care Affiliates LLC, United Healthcare Services Inc

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 99

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

View all 99

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484956800000",
    "number": "1689857385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 REAS LN",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502228",
            "telephone_number": "812-206-7660",
            "fax_number": "812-206-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 REAS LN",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502228",
            "telephone_number": "812-206-7660",
            "fax_number": "812-206-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2017-01-21",
        "status": "A",
        "authorized_official_last_name": "MEDLEY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "812-206-7624",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200916560 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.