Individual provider Active NPI

Kathleen Megan Starr, D.O.

  • Emergency Medicine Physician
  • Hobart, IN
National Provider Identifier
1962778332
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
02004842A Issued in IN
Practice address
1500 S Lake Park Ave
Emergency Department
Hobart, IN 46342-6638
Phone
(219) 947-6200
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036145197 IL
Emergency Medicine Physician 207P00000X 02004842A IN Primary

Addresses

Primary practice location

1500 S Lake Park Ave
Emergency Department
Hobart, IN 46342-6638

Mailing address

770 W Gladys Ave Apt 202
Chicago, IL 60661-5443
Phone (201) 780-8132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160727002622 IN Practitioner - Emergency Medicine 6608169636 Reassigns benefits to 2 organizations
I20170816001801 IL Practitioner - Emergency Medicine 6608169636 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036145197ILMDEmergency Medicine Physician
02004842AINMDEmergency Medicine Physician
036104793ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Chicago Central Emergency Physicians, LLP Emergency Medicine CurrentSince Dec 31, 2022 Accepting new patients
North Indiana Emergency Physicians, LLP Emergency Medicine CurrentSince Sep 10, 2018 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jan 1, 2026 Accepting new patients
Epss LLC- Lakeside Series Emergency Medicine CurrentSince Oct 9, 2023 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients

Locations

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

5025 N Paulina St
Chicago, IL 60640
Phone (773) 271-9040

812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000

403 E 1st St
Dixon, IL 61021
Phone (815) 285-5629

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580

1501 Hartford St
Lafayette, IN 47904
Phone (765) 423-6011

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

1900 Roosevelt Rd
Valparaiso, IN 46383
Phone (219) 263-4900

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

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.

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1962778332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 W GLADYS AVE APT 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615443",
            "telephone_number": "201-780-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S LAKE PARK AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426638",
            "telephone_number": "219-947-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARR",
        "first_name": "KATHLEEN",
        "middle_name": "MEGAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036145197",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02004842A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

Verify at the official NPI Registry.