ST JOSEPH MEDICAL GROUP INC
NPI 1811952070
General Practice in Fort Wayne, IN
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 1811952070) is a healthcare organization registered as a general practice in Fort Wayne, Indiana and active in the NPI registry since April 2006. The organization lists Sophia L Arwood, Director Of Physician Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 14
Other Identifiers 5
Group Practice 1
Accepted Insurance
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.
Clinicians Billing Medicare Through This Organization
35Medicare enrollment records show 35 clinicians reassign Medicare billing to St Joseph Medical Group Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 15
Nearest to this location (20)
See all 35Source: 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 1811952070. It was assigned to this organization in the NPPES registry on April 19, 2006.
Where is St Joseph Medical Group Inc located?
St Joseph Medical Group Inc is located at 2622 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 425-3100.
What is St Joseph Medical Group Inc's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
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). Of these, 4 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does St Joseph Medical Group Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Cigna Healthcare list St Joseph Medical Group 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 Joseph Medical Group Inc was last updated on December 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# St Joseph Medical Group Inc · NPI 1811952070
General Practice organization in Fort Wayne, Indiana. Organization record, active in the CMS NPPES registry since April 19, 2006.
## Identity
- **NPI:** 1811952070 (Entity type: Organization)
- **Enumerated:** April 19, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Sophia Arwood, DIRECTOR OF PHYSICIAN OPERATIONS
## Practice location
- **Address:** 2622 LAKE AVE, Fort Wayne, IN 46805-5410
- **Phone:** (260) 425-3100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 35 clinicians in 15 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (5), Urology (5); 4 practice at this address and 20 within 10 miles; [full list](https://npiprofile.com/npi/1811952070/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 15, 2015
- **Other identifiers:** Medicaid 100268520 (IN); Medicaid 2629570 (OH); Medicare PIN 150640 (IN); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1811952070) · Data from the CMS NPPES public registry.