Individual provider Active NPI

Victoria Antoinette Mindykowski

  • Surgical Physician Assistant
  • Carmel, IN
National Provider Identifier
1760374409
Registry record updated Oct 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
10004986A Issued in IN
Practice address
10580 N Meridian St Ste 105
Carmel, IN 46290-1028
Phone
(317) 583-7800
NPI assigned
Jul 17, 2025
Last updated
Oct 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 10004986A IN Primary

Addresses

Primary practice location

10580 N Meridian St Ste 105
Carmel, IN 46290-1028

Mailing address

10580 N Meridian St Ste 105
Carmel, IN 46290-1028
Phone (847) 309-2407

Other practice location 1

2001 W 86th St
Indianapolis, IN 46260-1902
Phone (317) 338-2345

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250929001064 IN Practitioner - Physician Assistant 6204331390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

10580 N Meridian St
Carmel, IN 46290-1028
Phone (317) 583-5000

10590 N Meridian St
Carmel, IN 46290-1028

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Sep 22, 2025 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Sep 22, 2025 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

10580 N Meridian St
Carmel, IN 46290
Phone (317) 338-2273

10580 N Meridian St
Ste 105
Carmel, IN 46290
Phone (317) 583-7800

10590 N Meridian St
Ste 105
Carmel, IN 46290
Phone (317) 583-7800

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

Interoperability endpoints

  • Direct secure messaging: victoria.mindykowski.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761436800000",
    "number": "1760374409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10580 N MERIDIAN ST STE 105",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901028",
            "telephone_number": "847-309-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10580 N MERIDIAN ST STE 105",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901028",
            "telephone_number": "317-583-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 W 86th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601902",
            "country_code": "US",
            "telephone_number": "317-338-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINDYKOWSKI",
        "first_name": "VICTORIA",
        "middle_name": "ANTOINETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-10-26",
        "certification_date": "2025-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10004986A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.