Saint Joseph Regional Medical Center- Plymouth Campus Inc
Organization Active NPI Hospitalist Physician · Plymouth, IN
NPI 1821402876 · NPPES record last updated Mar 6, 2026
Key facts
- NPI
- 1821402876
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- Legal business name
- SAINT JOSEPH REGIONAL MEDICAL CENTER- PLYMOUTH CAMPUS INC
- Practice address
- 1915 Lake Ave
Plymouth, IN 46563-9366 - Phone
- (574) 948-4000
- Fax
- (574) 948-5454
- NPI assigned
- Jun 18, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- TRINITY HEALTH CORPORATION
Authorized official
- Name
- Mr. Christopher James Karam
- Title
- President
- Phone
- (574) 335-5000
Other NPIs on the same Medicare enrollment 1
Practitioners 64
-
Frank A Addo, MD
-
Randall J Bjork, M.D.
-
Richard Dobben, M.D.
-
Janet Ann Galanes, M.D.
-
Jordan Geroski, DO
-
Laura Satka Gettler, FNP
-
Luis Felipe Gomez, M.D.
-
Jason R Grove, DPM
-
Lou Ann Hall Matos, DPM
-
Breanna Kartes, NP
-
Eric David Knapp, D.O.
-
Douglas S Kuehn, M.D.
-
Justin Leugers, MD
-
Douglas Liepert, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031223000588 | IN | Part B Supplier - Clinic/Group Practice | 9537071337 |
Receives reassigned benefits from 65 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Plymouth, IN |
National Provider Directory
- Part of
- Trinity Health Academic Internal Medicine-Northwest Livonia
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician |
207RC0200X | |||
| Pulmonary Disease Physician |
207RP1001X | |||
| Hospitalist Physician |
208M00000X | Yes | ||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
1915 Lake Ave
Plymouth, IN 46563-9366
Mailing address
5215 Holy Cross Parkway
Saint Joseph Provider Services
Mishawaka, IN 46545-1469
Phone (574) 335-8707
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000880530 | Other | IN | BCBS |
| 201268050A | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Plymouth, IN
- James Ryan
- Saint Joseph Regional Medical Center - Plymouth Campus Inc
- Saint Joseph Regional Medical Center - Plymouth Campus Inc
- Saint Joseph Regional Medical Center- Plymouth Campus Inc
- Saint Joseph Regional Medical Center- Plymouth Campus Inc
- Saint Joseph Regional Medical Center-South Bend Campus, Inc.
- Saint Joseph Regional Medical Center, Inc.
- Rebecca Salem
- Leah Christine Sands
- Rajindra Kumar Sarin
All providers in Plymouth, IN · Hospitalist Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.