MEDICARE: ST FRANCIS MEDICAL GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	207Q00000X	Family Medicine Physician	IN
2	207QS1201X	Sleep Medicine (Family Medicine) Physician	IN
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	IN
4	207RI0200X	Infectious Disease Physician	IN
5	207RP1001X	Pulmonary Disease Physician	IN
6	207RR0500X	Rheumatology Physician	IN
7	208M00000X	Hospitalist Physician	IN
8	207R00000X	Internal Medicine Physician	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457633562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST FRANCIS MEDICAL GROUP

Provider Business Mailing Address
First Line	:	PO BOX 664050
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46266-4056
Country	:	US
Telephone Number	:	317-780-3333
Fax Number	:	317-780-3345

Provider Business Practice Location Address
First Line	:	1040 SIERRA DR
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46143-7240
Country	:	US
Telephone Number	:	317-780-3333
Fax Number	:	317-780-3345

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. MARY BENJAMIN
Credential	:
Telephone Number	:	317-893-1860

Provider Enumeration Date	:	09/14/2011
Last Update Date	:	04/13/2018

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Directions to “ST FRANCIS MEDICAL GROUP ” Practice Location

Language	Start Address	Practice Location

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