Individual provider Active NPI

Katarina Leckova, MD

  • Hematology & Oncology Physician
  • Goshen, IN
National Provider Identifier
1699734251
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
01089727A Issued in IN
Practice address
200 High Park Ave
Goshen, IN 46526-4810
Phone
(574) 364-2888
Fax
(574) 364-2590
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 01089727A IN
Hematology & Oncology Physician 207RH0003X 4301514402 MI
Hematology & Oncology Physician 207RH0003X 01089727A IN Primary

Addresses

Primary practice location

200 High Park Ave
Goshen, IN 46526-4810

Mailing address

PO Box 834
Goshen, IN 46527-0834
Phone (574) 364-2592

Other practice location 1

42 N Saint Joseph Ave Ste 304
Niles, MI 49120-2203
Phone (269) 428-4411

Other practice location 2

3900 Hollywood Rd
Saint Joseph, MI 49085-9149
Phone (269) 428-4411

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katarina.leckova@goshenhealthdirect.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250625001125 MI Practitioner - Hematology/Oncology 4385628536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeland Medical PracticesGroup PAC ID 1658427042, 286 clinicians

Practice addresses (Care Compare)

3900 Hollywood Rd
Saint Joseph, MI 49085-9149
Phone (269) 428-4411

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Health System Inc Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Goshen Health System Inc CurrentSince May 1, 2023 Accepting new patients
Lakeland Medical Practices Internal Medicine CurrentSince Jun 5, 2025 Accepting new patients
Goshen Hospital Association Inc Current Accepting new patients
Lakeland Medical Practices Internal Medicine CurrentSince Jun 5, 2025 Accepting new patients
Coastal Inpatient Physicians, LLC Internal Medicine Past Accepting new patients

Locations

200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141

42 N Saint Joseph Ave
Ste 304
Niles, MI 49120
Phone (269) 428-4411

3900 Hollywood Rd
Saint Joseph, MI 49085
Phone (269) 428-4411

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

Interoperability endpoints

  • Direct secure messaging: kleckova3241818@epic00.corewelldirect.org

Organizations & group practices 6

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 3

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1699734251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 834",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465270834",
            "telephone_number": "574-364-2592",
            "fax_number": "574-364-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGH PARK AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264810",
            "telephone_number": "574-364-2888",
            "fax_number": "574-364-2590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 N Saint Joseph Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "MI",
            "postal_code": "491202203",
            "country_code": "US",
            "telephone_number": "269-428-4411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 Hollywood Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MI",
            "postal_code": "490859149",
            "country_code": "US",
            "telephone_number": "269-428-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LECKOVA",
        "first_name": "KATARINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IN",
            "license": "01089727A",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301514402",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01089727A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katarina.leckova@goshenhealthdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "200 High Park Ave",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465264810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.