Kathleen Mary Berchelmann, MD
Individual provider Active NPI Pediatrics Physician · New Canaan, CT
NPI 1376565416 · NPPES record last updated Mar 31, 2025
Key facts
- NPI
- 1376565416
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 57242 (CT)
- Practice address
- 711 Silvermine Rd
New Canaan, CT 06840-4329 - Phone
- (314) 888-5233
- Fax
- (203) 590-8644
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- My Catholic Doctor PLLC
Practice addresses (Care Compare)
1180 Newfield Ave
Stamford, CT 06905-1409
Phone (314) 888-5233
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101012000145 | MO | Practitioner - Pediatric Medicine | 2860684693 | Reassigns benefits to 1 organization |
| I20180910003006 | CT | Practitioner - Pediatric Medicine | 2860684693 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18717 | NH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chuck R. Colas, D.O., P.C. | Current |
Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Washington University | Current |
Accepting new patients | |
| Washington University | Current |
Accepting new patients | |
| Stamford Health Medical Group Inc | Current |
Accepting new patients | |
| My Catholic Doctor Medical Group PC | Pediatrics | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644
1180 Newfield Ave
Stamford, CT 06905
Phone 3148885233 ext. 1062
1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925
1 Childrens Pl
#8116
Saint Louis, MO 63110
Phone (314) 454-6095
1 Childrens Pl
Ste C
Saint Louis, MO 63110
Phone (314) 454-2104
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
789 Central Ave
#2
Dover, NH 03820
Phone (603) 740-2503
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
Interoperability endpoints
- kberchelmann24275@stamfordhealth.direct-ci.com
- https://fhir4.healow.com/fhir/r4/ABCIBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 18717 | NH | |
| Pediatrics Physician | 208000000X | 57242 | CT | Yes |
Addresses
Primary practice location
711 Silvermine Rd
New Canaan, CT 06840-4329
Mailing address
711 Silvermine Rd
New Canaan, CT 06840-4329
Phone (314) 888-5233
Other practice location 1
789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2263
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3148255 | Medicaid | NH |
Other providers in New Canaan, CT
- Kathryn Bagley
- Larry W Barnett
- Marybeth Wetzel Bates
- Beautiful Acupuncture
- Catherine Leigh Beeson
- Meredith Bergman
- Benjamin Bernstein
- Kenneth R Berv
- Patricia A Bevilacqua
- Alison Birnbaum
All providers in New Canaan, CT · Pediatrics Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.