St Mary's Medical Group, LLC
NPI 1619307873ActiveOrganization· Internal Medicine, Nephrology· Evansville, IN
Internal Medicine, Nephrology in Evansville, Indiana, registered in NPPES in November 2013. The authorized official on file is William J. Millikan, Ceo.
Overview
| NPI | 1619307873 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 25, 2013 |
| Last updated in NPPES | Jun 29, 2020 |
| Certified by provider | Jun 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — | — |
| Obstetrics & Gynecology | 207V00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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