ST MARY MEDICAL CENTER INC
NPI 1184726390
Rehabilitation Unit in Hobart, IN

Active since September 01, 2006CLIA Certified · 7 labs
1500 S LAKE PARK AVE, HOBART, IN 46342(219) 942-0551(219) 934-8889 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2024, Feb 22, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About St Mary Medical Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST MARY MEDICAL CENTER INC (NPI 1184726390) is a healthcare organization registered as a rehabilitation unit in Hobart, Indiana and active in the NPI registry since September 2006. The organization holds 7 active CLIA laboratory certificates and lists Char Kullerstrand, Regional Director, as its authorized official.

NPPES Registry Identity

NPI1184726390
Entity TypeOrganization
Primary Taxonomy273Y00000X
Legal Business NameST MARY MEDICAL CENTER INC
Location Address1500 S LAKE PARK AVEHobart, IN 46342-6638
Mailing AddressPo Box 3603Munster, IN 46321-0757 · (219) 934-8888 · Fax (219) 934-8889
Fax(219) 934-8889
Organization SubpartNo
Authorized OfficialChar KullerstrandRegional Director · (219) 934-8994
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJuly 11, 20244 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
NPI 1184726390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRehabilitation UnitHospital Units
Taxonomy Code273Y00000X
License Licensed in IN · 060057861
Definition
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.
1500 S LAKE PARK AVE, Hobart, IN 46342

Other Identifiers 1

Medicaid100268660IN

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 7

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D1052483

St Mary Medical Center · Hobart, IN
Active · expires Mar 26, 2028
CLIA Number15D1052483
Laboratory TypeHospital
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorZachary Dobbin
Laboratory Phone(219) 947-6263
Laboratory LocationSt Mary Medical Center1500 South Lake Park Avenue, Hobart, IN 46342
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 15D1040111

St Mary Medical Center · Hobart, IN
Active · expires Apr 28, 2027
CLIA Number15D1040111
Laboratory TypeHospital
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorDr. Todd Dejulio
Laboratory Phone(219) 947-6263
Laboratory LocationSt Mary Medical Center1500 S Lake Park Ave, Hobart, IN 46342
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 15D0034713

St Mary Medical Center Main Laboratory · Hobart, IN
Active · expires Feb 8, 2027
CLIA Number15D0034713
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Todd Dejulio
Laboratory Phone(219) 947-6300
Laboratory LocationSt Mary Medical Center Main Laboratory1500 S Lake Park Ave, Hobart, IN 46342
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 15D2110488

St Mary Medical Center Cardiac Rehabilitation · Hobart, IN
Active · expires Mar 14, 2028
CLIA Number15D2110488
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateMarch 15, 2026
Certificate Expiration DateMarch 14, 2028
Laboratory DirectorDr. Todd Dejulio
Laboratory Phone(219) 947-6085
Laboratory LocationSt Mary Medical Center Cardiac Rehabilitation1354 S Lake Park Ave, Hobart, IN 46342
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2001684

St Mary Medical Center Surgery Center-Lake Park · Hobart, IN
Active · expires Dec 28, 2027
CLIA Number15D2001684
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorDr. Todd Dejulio
Laboratory Phone(219) 942-9600
Laboratory LocationSt Mary Medical Center Surgery Center-Lake Park7921 Grand Blvd, Hobart, IN 46342
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2125108

St Mary Medical Center Outpatient Center · Hobart, IN
Active · expires Jan 31, 2027
CLIA Number15D2125108
Laboratory TypeOutpatient Petct Dept
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorDr. Todd Dejulio
Laboratory Phone(219) 947-6263
Laboratory LocationSt Mary Medical Center Outpatient Center300 W 61st Ave, Hobart, IN 46342
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1500 S LAKE PARK AVE
HOBART, IN 46342
Registered Nurse
1500 S LAKE PARK AVE
HOBART, IN 46342
Hospitalist
1500 S LAKE PARK AVE
HOBART, IN 46342
Pharmacist
1500 S LAKE PARK AVE
HOBART, IN 46342
Internal Medicine
1500 S LAKE PARK AVE
HOBART, IN 46342
Radiology (Diagnostic Radiology)
1500 S LAKE PARK AVE, MUNSTER RADIOLOGY GROUP
HOBART, IN 46342
Emergency Medicine
1500 S LAKE PARK AVE
HOBART, IN 46342
Pharmacist
1500 S LAKE PARK AVE
HOBART, IN 46342

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Mary Medical Center Inc's NPI number?

The NPI number for St Mary Medical Center Inc is 1184726390. It was assigned to this organization in the NPPES registry on September 1, 2006.

Where is St Mary Medical Center Inc located?

St Mary Medical Center Inc is located at 1500 S Lake Park Ave, Hobart, IN 46342. The listed phone number is (219) 942-0551.

What is St Mary Medical Center Inc's specialty?

The primary specialty registered for this NPI is Rehabilitation Unit with taxonomy code 273Y00000X.

Does St Mary Medical Center Inc hold CLIA laboratory certificates?

Yes. 7 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does St Mary Medical Center Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list St Mary Medical Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Mary Medical Center Inc was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.