ASCENSION MEDICAL GROUP ST. VINCENT
NPI 1194251439
Physiological Laboratory in Brownsburg, IN
NPI Status: Active since May 05, 2017
Contact Information
590 PIT RD
#200
BROWNSBURG, IN
ZIP 46112
Phone: (317) 456-1156
- Organization
- Physiological Laboratory
- Accepts Insurance
- CLIA Number: 15D1002814
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-14-2026
About ASCENSION MEDICAL GROUP ST. VINCENT
This page provides the complete NPI Profile along with additional information for Ascension Medical Group St. Vincent, a provider established in Brownsburg, Indiana operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1194251439 assigned on May 2017. The practitioner's primary taxonomy code is 293D00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Ascension Medical Group St. Vincent. The authorized official of this NPI record is Brian Morris (Cfo)
- NPI
- 1194251439
- Provider Legal Name
- ST. VINCENT MEDICAL GROUP, INC.
- Other Organization Name
- ASCENSION MEDICAL GROUP ST. VINCENT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 590 PIT RD #200 BROWNSBURG, IN 46112
- Location Phone
- (317) 456-1156
- Mailing Address
- 10330 N MERIDIAN ST #300 INDIANAPOLIS, IN 46290
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-05-2017
- Last Update Date
- 02-12-2020
- 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
Physiological Laboratory
- Taxonomy Code
- 293D00000X
- Type
- Laboratories
- Taxonomy Description
- A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
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 | 261QM1200X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QR0200X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 7500 $25 Generic Drugs - HMO
- Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Gold 2000 $15 Generic Drugs - HMO
- Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 10600 $25 Generic Drugs - HMO
- Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Low Premium Silver 6200 $3 Generic Drugs - HMO
- Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 15D1002814
- Facility Type
- Physician Office
- Certificate Effective Date
- August 15, 2024
- Certificate Expiration Date
- August 14, 2026
- Laboratory Director
- BRUCE F. WALLER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ascension Medical Group St. Vincent to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1194251439, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BROWNSBURG, IN 46112
BROWNSBURG, IN 46112
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194251439, enumerated as an "organization" on May 05, 2017.
The provider is located at 590 PIT RD #200 BROWNSBURG, IN 46112 and the phone number is (317) 456-1156.
Physiological Laboratory with taxonomy code 293D00000X.
The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.
