ST MARY'S MEDICAL GROUP, LLC
NPI 1154933703
Podiatrist - Foot & Ankle Surgery in Evansville, IN
NPI Status: Active since August 17, 2020
Contact Information
3801 BELLEMEADE AVE STE 110
EVANSVILLE, IN
ZIP 47714
Phone: (812) 485-7330
- Organization
- Podiatrist
- Foot & Ankle Surgery
- CLIA Number: 15D0891285
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 05-21-2027
About ST MARY'S MEDICAL GROUP, LLC
This page provides the complete NPI Profile along with additional information for St Mary's Medical Group, Llc, a provider established in Evansville, Indiana operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1154933703 assigned on August 2020. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated 6 years ago. St Mary's Medical Group, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Daniel Parod (Ceo)
- NPI
- 1154933703
- Provider Name
- ST MARY'S MEDICAL GROUP, LLC
- Entity Type
- Organization
- Location Address
- 3801 BELLEMEADE AVE STE 110 EVANSVILLE, IN 47714
- Location Phone
- (812) 485-7330
- Mailing Address
- 250 W 96TH ST STE 520 INDIANAPOLIS, IN 46260
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-17-2020
- Last Update Date
- 08-17-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | |
| 2 | 213ES0131X | Podiatric Medicine & Surgery Service Providers | Podiatrist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D0891285
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- May 22, 2025
- Certificate Expiration Date
- May 21, 2027
- Laboratory Director
- DR. KAREN E. TREVINO
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to St Mary's Medical Group, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1154933703, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
EVANSVILLE, IN 47714
EVANSVILLE, IN 47714
EVANSVILLE, IN 47714
EVANSVILLE, IN 47714
EVANSVILLE, IN 47714
EVANSVILLE, IN 47714
EVANSVILLE, IN 47714
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154933703, enumerated as an "organization" on August 17, 2020.
The provider is located at 3801 BELLEMEADE AVE STE 110 EVANSVILLE, IN 47714 and the phone number is (812) 485-7330.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.
