Individual provider Active NPI

Katherine Stachowicz, DO

  • Family Medicine Physician
  • Bedford, IN
National Provider Identifier
1851745251
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02008813A Issued in IN
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300130427MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, DC, MD, IN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190821000489 MS Practitioner - Family Practice 2365735628
I20211007003333 DC Practitioner - Family Practice 2365735628 Reassigns benefits to 3 organizations
I20230308000370 MD Practitioner - Family Practice 2365735628 Reassigns benefits to 2 organizations
I20260414001905 IN Practitioner - Family Practice 2365735628 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
02008813AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Jul 15, 2022 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Capital Healthcare PC CurrentSince Oct 1, 2021 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Family Medicine CurrentSince Oct 13, 2025 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.