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ST JOSEPH MEDICAL GROUP INC
NPI 1801851902
Family Medicine in Angola, IN

Active since April 20, 2006
1109 W MAUMEE ST, ANGOLA, IN 46703(260) 665-2131 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About St Joseph Medical Group Inc NPPES

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

ST JOSEPH MEDICAL GROUP INC (NPI 1801851902) is a healthcare organization registered as a family medicine in Angola, Indiana and active in the NPI registry since April 2006. The organization lists Debbie T Brewer, Director Of Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1801851902
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST JOSEPH MEDICAL GROUP INC
Location Address1109 W MAUMEE STAngola, IN 46703-1329
Mailing Address1109 W Maumee StAngola, IN 46703-1329 · (260) 665-2131
Phone(260) 665-2131
Organization SubpartNo
Authorized OfficialDebbie T BrewerDirector Of Provider Enrollment · (615) 465-7626
Enumeration DateApril 20, 2006
Last NPPES UpdateJune 25, 2008
✔ NPI 1801851902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1109 W MAUMEE ST, Angola, IN 46703
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Other Identifiers 2

Medicaid100268520IN
Medicare PIN150930IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Joseph Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20040525001030Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

35

Medicare enrollment records show 35 clinicians reassign Medicare billing to St Joseph Medical Group Inc, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Nurse Practitioner6
Family Practice5
Urology5
Psychiatry4
Anesthesiology2
Internal Medicine2
Obstetrics/Gynecology2
Pediatric Medicine2
7 other specialties7

Nearest to this location (20)

See all 35
Theodore Sauer, M.D.
Family Practice
NPI 1881674703
300 W OHIO ST
Kendallville, IN 46755
(260) 212-1906
✔ PECOS19 mi
Michelle Diss, NP
Nurse Practitioner
NPI 1497198568
401 N SAWYER RD
Kendallville, IN 46755
(260) 266-5300
✔ PECOS✔ Accepts Medicare20 mi
John Brinkman, MD
Urology
NPI 1881668150
11141 PARKVIEW PLAZA DR STE 325
Fort Wayne, IN 46845
(260) 425-5400
✔ PECOS✔ Accepts Medicare31 mi
Mark Dabagia, MD
Urology
NPI 1891795852
11141 PARKVIEW PLAZA DR STE 325
Fort Wayne, IN 46845
(260) 425-5400
✔ PECOS✔ Accepts Medicare31 mi
George Martin, M.D.
Urology
NPI 1841222452
11141 PARKVIEW PLAZA DR STE 325
Fort Wayne, IN 46845
(260) 425-5400
✔ PECOS✔ Accepts Medicare31 mi
Sarah Slocum, N.P.
Nurse Practitioner
NPI 1851640155
11141 PARKVIEW PLAZA DR STE 325
Fort Wayne, IN 46845
(260) 425-5400
✔ PECOS✔ Accepts Medicare31 mi
Chelsea Handshoe, N.P.
Nurse Practitioner
NPI 1811338254
11109 PARKVIEW PLAZA DR
Fort Wayne, IN 46845
(260) 266-2500
✔ PECOS✔ Accepts Medicare31 mi
Marcia Grant, LCSW LMFT
Clinical Social Worker
NPI 1013076413
415 E COOK RD SUITE 100
Fort Wayne, IN 46825
(260) 489-6030
✔ PECOS✔ Accepts Medicare34 mi
Erin Rivera, PHD, CNS, APRN, BC
Certified Clinical Nurse Specialist (CNS)
NPI 1790893147
415 E COOK RD SUITE 100
Fort Wayne, IN 46825
(260) 489-6030
✔ PECOS✔ Accepts Medicare34 mi
Ashraf Hanna, MD
Family Practice
NPI 1720153919
6507 E STATE BLVD
Fort Wayne, IN 46815
(260) 486-3300
✔ PECOS✔ Accepts Medicare37 mi
Mahnaz Qazi, MD
Emergency Medicine
NPI 1275740169
2622 LAKE AVE
Fort Wayne, IN 46805
(260) 425-3100
✔ PECOS38 mi
Thomas Ryan, DO
Cardiovascular Disease (Cardiology)
NPI 1275507055
2622 LAKE AVE
Fort Wayne, IN 46805
(260) 425-3100
✔ PECOS38 mi
Dorothea Addo, MD
Internal Medicine
NPI 1063478360
2622 LAKE AVE
Fort Wayne, IN 46805
(260) 425-3100
✔ PECOS✔ Accepts Medicare38 mi
John Addo, MD
Internal Medicine
NPI 1922063189
2622 LAKE AVE
Fort Wayne, IN 46805
(260) 425-3100
✔ PECOS✔ Accepts Medicare38 mi
Ibad Ul-Haq Farooqui, MD
Family Practice
NPI 1427499318
402 E MAIN ST
Fort Wayne, IN 46802
(260) 425-2630
✔ PECOS✔ Accepts Medicare39 mi
Robert Barnes, MD
Pediatric Medicine
NPI 1629008024
1302 MINNICH RD SUITE 4
New Haven, IN 46774
(260) 493-6508
✔ PECOS39 mi
Matthew Byers, M.D.
Obstetrics/Gynecology
NPI 1124314398
1270 E STATE ROAD 205 STE 140
Columbia City, IN 46725
(260) 248-9090
✔ PECOS✔ Accepts Medicare40 mi
Christopher Collie, D.O.
Anesthesiology
NPI 1427025550
983 N COUNTRY CLUB RD
Peru, IN 46970
(765) 460-5005
✔ PECOS78 mi
Doyle Lorenz, MD
Anesthesiology
NPI 1184689457
275 W 12TH ST
Peru, IN 46970
(765) 472-8000
✔ PECOS✔ Accepts Medicare82 mi
Samir Ishak, MD
Psychiatry
NPI 1548257488
500 W VOTAW ST
Portland, IN 47371
(260) 418-7036
✔ PECOS✔ Accepts Medicare82 mi
See all 35 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Joseph Medical Group Inc's NPI number?

The NPI number for St Joseph Medical Group Inc is 1801851902. It was assigned to this organization in the NPPES registry on April 20, 2006.

Where is St Joseph Medical Group Inc located?

St Joseph Medical Group Inc is located at 1109 W Maumee St, Angola, IN 46703. The listed phone number is (260) 665-2131.

What is St Joseph Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is St Joseph Medical Group Inc enrolled in Medicare?

Yes. St Joseph Medical Group Inc is registered in the Medicare PECOS enrollment system.

When is St Joseph Medical Group Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through St Joseph Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 15 Medicare specialties reassign their Medicare billing to St Joseph Medical Group Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Family Practice (5) and Urology (5). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for St Joseph Medical Group Inc was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.