Individual provider Active NPI

Nadia Katherine Mostovych, M.D.

  • Facial Plastic Surgery Physician
  • Bend, OR
National Provider Identifier
1861752180
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
MD214500 Issued in OR
Practice address
2220 NW Labiche LN Ste 130
Bend, OR 97703-6748
Phone
(541) 728-2026
Fax
(541) 721-5402
NPI assigned
May 21, 2012
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X MD214500 OR Primary

Addresses

Primary practice location

2220 NW Labiche LN Ste 130
Bend, OR 97703-6748

Mailing address

2220 NW Labiche LN Ste 130
Bend, OR 97703-6748
Phone (541) 728-2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, IL, OR, ND4 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
I20181102000393 MD Practitioner - Otolaryngology 7517190473
I20230519001406 IL Practitioner - Otolaryngology 7517190473 Reassigns benefits to 3 organizations
I20231218001156 OR Practitioner - Otolaryngology 7517190473 Reassigns benefits to 1 organization
I20240828002048 ND Practitioner - Otolaryngology 7517190473 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0086288MDMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mostovych Facial Plastic Surgery LLC Facial Plastic Surgery Current Accepting new patients
Altru Health System Current Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Altru Health System CurrentSince Aug 5, 2024 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Jan 2, 2024 Accepting new patients
Ferrell Hospital Community Foundation CurrentSince May 1, 2023 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Jan 2, 2024 Accepting new patients
Ferrell Hospital Community Foundation Current Accepting new patients
Altru Health System CurrentSince Aug 5, 2024 Accepting new patients
Ferrell Hospital Community Foundation CurrentSince May 1, 2023 Accepting new patients
Carle Health Medical Group CurrentSince Sep 18, 2023 Accepting new patients
Richland Memorial Hospital, Inc Otolaryngology CurrentSince Nov 1, 2023 Accepting new patients
Altru Health System Past Accepting new patients

Locations

1306 Maple St
Eldorado, IL 62930
Phone (618) 273-2360

1201 Pine St
Eldorado, IL 62930
Phone (618) 273-3361

1300 US Highway 45 N
Eldorado, IL 62930
Phone (618) 273-9305

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

4440 S Washington St
Fl 1
Grand Forks, ND 58201

2220 NW Labiche Ln
Ste 130
Bend, OR 97703
Phone (541) 728-2026

3000 Bryant Williams Dr
Klamath Falls, OR 97601
Phone (541) 274-3000

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

3000 Bryant Williams Dr
Ste 200
Klamath Falls, OR 97601
Phone (541) 274-3000

Interoperability endpoints

  • Direct secure messaging: nmostovychmd385085@carlehiedirect.net
  • Direct secure messaging: nmostovych3824152@wm.providencedirect.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1861752180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 NW LABICHE LN STE 130",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977036748",
            "telephone_number": "541-728-2026",
            "fax_number": "541-721-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 NW LABICHE LN STE 130",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977036748",
            "telephone_number": "541-728-2026",
            "fax_number": "541-721-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTOVYCH",
        "first_name": "NADIA",
        "middle_name": "KATHERINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "OR",
            "license": "MD214500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.