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ST MARYS MEDICAL GROUP INC.
NPI 1922110642
Family Medicine in Saint Marys, OH

Active since August 31, 2006
1132 HAGER ST, SAINT MARYS, OH 45885(419) 394-5851(419) 394-0702 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About St Marys Medical Group Inc. NPPES

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

ST MARYS MEDICAL GROUP INC. (NPI 1922110642) is a healthcare organization registered as a family medicine in Saint Marys, Ohio and active in the NPI registry since August 2006. The organization lists Alfredo A Paguirigan, President, as its authorized official.

NPPES Registry Identity

NPI1922110642
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST MARYS MEDICAL GROUP INC.
Location Address1132 HAGER STSaint Marys, OH 45885-2423
Mailing Address1132 Hager StSaint Marys, OH 45885-2423 · (419) 394-5851 · Fax (419) 394-0702
Phone(419) 394-5851
Fax(419) 394-0702
Organization SubpartNo
Authorized OfficialAlfredo A PaguiriganPresident · (419) 394-5851
Enumeration DateAugust 31, 2006
Last NPPES UpdateJune 21, 2018
✔ NPI 1922110642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35-032121P
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.
1132 HAGER ST, Saint Marys, OH 45885
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Other Identifiers 4

Other4466481OH · Aetna
Medicaid0333535OH
Other000000127763OH · Anthem
Other=========-00OH · Workers Comp

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to St Marys Medical Group Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Matthew Riesen, MD
General Practice
NPI 1497947998
1132 HAGER ST
Saint Marys, OH 45885
(419) 394-5851
✔ PECOS✔ Accepts MedicareSame address

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 Marys Medical Group Inc.'s NPI number?

The NPI number for St Marys Medical Group Inc. is 1922110642. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is St Marys Medical Group Inc. located?

St Marys Medical Group Inc. is located at 1132 Hager St, Saint Marys, OH 45885. The listed phone number is (419) 394-5851.

What is St Marys Medical Group Inc.'s specialty?

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

Is St Marys Medical Group Inc. enrolled in Medicare?

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

How many clinicians bill Medicare through St Marys Medical Group Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to St Marys 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. 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 Marys Medical Group Inc. was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.