Active NPI
Saint Joseph Regional Medical Center-South Bend Campus, Inc.
Doing business as Family Medicine Center of SJRMC
- Family Medicine Physician
- Mishawaka, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC.
- Doing business as
- Family Medicine Center of SJRMC
- Practice address
- 611 E Douglas Rd, Ste 407
Family Medicine Center of Sjrmc
Mishawaka, IN 46545-1468 - Phone
- (574) 335-6500
- Fax
- (574) 335-0772
- NPI assigned
- Oct 20, 2006
- Last updated
- Mar 9, 2026
- Organization subpart
- Yes
- Parent organization
- TRINITY HEALTH CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher James Karam
- Title
- President
- Phone
- (574) 335-5000
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Sports Medicine (Family Medicine) Physician | 207QS0010X | |||
| Maternal & Fetal Medicine Physician | 207VM0101X | |||
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | |||
| Podiatrist | 213E00000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X |
Addresses
Primary practice location
611 E Douglas Rd, Ste 407
Family Medicine Center of Sjrmc
Mishawaka, IN 46545-1468
Mailing address
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-8707
Other practice location 1
611 E Douglas Rd, Ste 101
Saint Joseph Foot and Ankle Center
Mishawaka, IN 46545-1464
Phone (574) 335-6800
Other practice location 2
611 E Douglas Rd, Ste 137
Sports Medicine Institute
Mishawaka, IN 46545-1464
Phone (574) 335-6214
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100382210A | Medicaid | IN | |
| 300019508 | Medicaid | IN | |
| 100382210E | Medicaid | IN |
Other names 1
- Family Medicine Center of SJRMC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031223000724 | IN | Part B Supplier - Clinic/Group Practice | 3476451790 |
Receives reassigned benefits from 206 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mishawaka, IN; South Bend, IN |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Saint Joseph Regional Medical Center-South Bend Campus Inc Mobile Med
- Mobile Mammography Clinic/Center
- South Bend, IN
- NPI 1023844693
O20031223000724
-
- Critical Care Medicine (Internal Medicine) Physician
- Mishawaka, IN
- NPI 1699132365
O20031223000724
-
dba Family Medicine Faculty Physicians
- Family Medicine Physician
- Mishawaka, IN
- NPI 1144580150
O20031223000724
-
dba Our Lady of Rosary
- Family Medicine Physician
- South Bend, IN
- NPI 1396154324
O20031223000724
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
O20031223000724
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0357334 | Family Medicine Center of Sjrmc | Provider-performed microscopy | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Part of
- Trinity Health Academic Internal Medicine-Northwest Livonia
Locations
611 E Douglas Rd
Ste 305
Mishawaka, IN 46545
Phone (574) 335-6450
611 E Douglas Rd
Ste 406
Mishawaka, IN 46545
Phone (574) 335-6500
810 Park Pl
Mishawaka, IN 46545
Phone (574) 336-0240
2010 E Farnsworth Dr
South Bend, IN 46614
Phone (574) 291-0163
234 Chapin St
South Bend, IN 46601
234 Chapin St
Unit 1
South Bend, IN 46601
53940 Carmichael Dr
Ste 100
South Bend, IN 46635
707 Cedar St
Ste 405
South Bend, IN 46617
837 Cedar St
Ste 100
South Bend, IN 46617
Phone (574) 237-7338
837 Cedar St
Ste 125
South Bend, IN 46617
Practitioners & affiliated clinicians
Practitioners 57
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.
-
- Foot Surgery Podiatrist
- Elkhart, IN
- NPI 1912583881
-
- Obstetrics & Gynecology Physician
- South Bend, IN
- NPI 1043654361
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1265458749
-
- Podiatrist
- Mishawaka, IN
- NPI 1609040088
-
- Podiatrist
- Elkhart, IN
- NPI 1588314272
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1447205448
-
- Sports Medicine (Family Medicine) Physician
- Mishawaka, IN
- NPI 1467981464
-
- Family Medicine Physician
- South Bend, IN
- NPI 1679922355
-
- Family Medicine Physician
- South Bend, IN
- NPI 1144807785
-
- Family Medicine Physician
- Granger, IN
- NPI 1023116514
-
- Foot & Ankle Surgery Podiatrist
- Rochester, IN
- NPI 1689088783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773014400000",
"number": "1780766261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5215 HOLY CROSS PKWY",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465451469",
"telephone_number": "574-335-8707",
"fax_number": "574-335-0741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 E DOUGLAS RD, STE 407",
"address_2": "FAMILY MEDICINE CENTER OF SJRMC",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465451468",
"telephone_number": "574-335-6500",
"fax_number": "574-335-0772"
}
],
"practiceLocations": [
{
"address_1": "611 E Douglas Rd, Ste 101",
"address_2": "Saint Joseph Foot and Ankle Center",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465451464",
"country_code": "US",
"telephone_number": "574-335-6800",
"fax_number": "574-335-0732",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "611 E Douglas Rd, Ste 137",
"address_2": "Sports Medicine Institute",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465451464",
"country_code": "US",
"telephone_number": "574-335-6214",
"fax_number": "574-335-6215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRINITY HEALTH CORPORATION",
"enumeration_date": "2006-10-20",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A",
"authorized_official_last_name": "KARAM",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "574-335-5000"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100382210A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300019508",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100382210E",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Family Medicine Center of SJRMC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mishawaka, IN
- Saint Joseph Regional Medical Center-South Bend Campus, Inc
- Saint Joseph Regional Medical Center-South Bend Campus, Inc.
- Saint Joseph Regional Medical Center-South Bend Campus, Inc. (Family Medicine Faculty Physicians)
- Saint Joseph Regional Medical Center-South Bend Campus, Inc. (Saint Joseph Health System Pharmacy)
- Saint Joseph Regional Medical Center-South Bend Campus, Inc.
- Saint Joseph Regional Medical Center-South Bend Campus, Inc.
- Saint Joseph Regional Medical Center, Inc. (Saint Joseph Regional Medical Center Infusion Pharmacy)
- Saint Joseph Regional Medical Center, Inc. (Saint Joseph Medical Group)
- Hasan A Salam, OD
- Michael Salcedo, D.P.M.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.