Active NPI
Katherine Stachowicz, DO
- Family Medicine Physician
- Bedford, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02008813A
- Practice address
- 629 Lincoln Ave
Bedford, IN 47421-2142 - Phone
- (812) 675-4470
- Fax
- (812) 675-4469
- NPI assigned
- Apr 21, 2016
- Last updated
- Jun 3, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02008813A | IN | Primary |
Addresses
Primary practice location
629 Lincoln Ave
Bedford, IN 47421-2142
Mailing address
515 Southridge Dr
Bedford, IN 47421-9262
Phone (812) 723-3944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300130427 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, DC, MD, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
420 W Longest St
Paoli, IN 47454-8821
Phone (812) 723-3944
4240 Altamont PL
White Plains, MD 20695-3052
Phone (301) 373-7900
6710 Oxon Hill Rd
Suite 200
Oxon Hill, MD 20745-1124
Phone (301) 373-7900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02008813A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Capital Healthcare PC | Current | Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Family Medicine | Current | Accepting new patients |
| Southern Health Corp. of Houston, Inc | Current | Accepting new patients | |
| Medstar Southern Maryland Physicians, LLC | Past | Accepting new patients | |
| Medstar Medical Group II LLC | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
13950 Brandywine Rd
Brandywine, MD 20613
Phone (301) 782-2220
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236
24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
6710 Oxon Hill Rd
Ste 200
Oxon Hill, MD 20745
4240 Altamont Pl
White Plains, MD 20695
Phone (240) 518-6020
1002 E Madison St
Houston, MS 38851
Phone (601) 456-3701
6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993
Interoperability endpoints
- katherine.stachowiczdo.d1.p2@direct.msmg.nextgenshare.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MedStar Shah Medical Group, LLC
- Internal Medicine Physician
- Hollywood, MD
- NPI 1831592211
DC, Family Medicine
-
dba Comprehensive Health Care
- Family Medicine Physician
- Paoli, IN
- NPI 1427171057
-
- Ambulatory Surgical Clinic/Center
- Waldorf, MD
- NPI 1730571118
-
dba Trace Regional Hospital
- Certified Registered Nurse Anesthetist
- Houston, MS
- NPI 1942484365
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
dba Women's Health Center of Waldorf
- Obstetrics & Gynecology Physician
- White Plains, MD
- NPI 1366644197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1851745251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 SOUTHRIDGE DR",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474219262",
"telephone_number": "812-723-3944",
"fax_number": "812-723-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 LINCOLN AVE",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474212142",
"telephone_number": "812-675-4470",
"fax_number": "812-675-4469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACHOWICZ",
"first_name": "KATHERINE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-21",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02008813A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300130427",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, IN
- St Vincent Dunn Hospital Inc (Ascension St. Vincent Dunn)
- St. Vincent Dunn Hospital Inc. (Ascension St. Vincent Dunn)
- St. Vincent Dunn Hospital, Inc.
- St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
- St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
- Cari Dawn Staggs-Littrell, R.D., C.D.
- Stanley H Stancil, M.D.
- Amanda Lynn Starks, NP
- Anthony Todd Stevens
- Samantha Jo Stevens, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.