NPIMap

Individual provider Active NPI

Kathleen Stipek

  • Emergency Medicine Physician
  • Toledo, OH
National Provider Identifier
1417489469
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.015136 Issued in OH
Practice address
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone
(419) 291-4000
NPI assigned
Mar 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI
Emergency Medicine Physician 207P00000X 34.015136 OH Primary
Emergency Medicine Physician 207P00000X 5101026183 MI

Addresses

Primary practice location

2142 N Cove Blvd
Toledo, OH 43606-3895

Mailing address

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000

Other practice location 1

36475 Five Mile Rd
Livonia, MI 48154-1971
Phone (734) 655-4800

Other practice location 2

39000 7 Mile Rd
Livonia, MI 48152-1006
Phone (947) 523-4440

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kstipek3383491@epic00.corewelldirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210709002531 OH Practitioner - Emergency Medicine 8426322108 Reassigns benefits to 2 organizations
I20210712000516 MI Practitioner - Emergency Medicine 8426322108 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians

Practice addresses (Care Compare)

2110 S M
76 Suite 1
West Branch, MI 48661-8821
Phone (989) 516-5075

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.08
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101026183MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Department Physicians, P.C. Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
Observation Physicians of Northwest Ohio LLC Emergency Medicine CurrentSince Jun 15, 2021 Accepting new patients
McLaren Medical Group Emergency Medicine CurrentSince Aug 24, 2024 Accepting new patients
Observation Emergency Physicians, P.C. Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
McLaren Hospital Group Emergency Medicine CurrentSince Jul 22, 2025 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Aug 1, 2025 Accepting new patients
Memorial Hospital CurrentSince Apr 1, 2025 Accepting new patients
Memorial Hospital Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Emergency Physicians of Northwest Ohio Inc. Emergency Medicine CurrentSince Jun 15, 2021 Accepting new patients
McLaren Medical Group CurrentSince Aug 24, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Internal Medicine Solutions PLLC PastSince Dec 9, 2019 Accepting new patients

Locations

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

2110 S M 76
Ste 1
West Branch, MI 48661
Phone (989) 516-5074

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

Interoperability endpoints

  • Direct secure messaging: kstipek3383491@epic00.corewelldirect.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1417489469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 N COVE BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063895",
            "telephone_number": "419-291-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 N COVE BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063895",
            "telephone_number": "419-291-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36475 Five Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541971",
            "country_code": "US",
            "telephone_number": "734-655-4800",
            "fax_number": "734-655-2911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39000 7 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481521006",
            "country_code": "US",
            "telephone_number": "947-523-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIPEK",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.015136",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101026183",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kstipek3383491@epic00.corewelldirect.org",
            "affiliation": "N",
            "address_1": "39000 7 Mile Rd",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481521006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.