Individual provider Active NPI

Kathryn P Lambourne, M.D.

  • Anesthesiology Physician
  • Mishawaka, IN
National Provider Identifier
1982804357
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01069656A Issued in IN
Practice address
5215 Holy Cross Parkway
St. Joseph Regional Medical Center - Anesthesia Dept
Mishawaka, IN 53792-0001
Phone
(574) 335-5000
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01069656A IN Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

5215 Holy Cross Parkway
St. Joseph Regional Medical Center - Anesthesia Dept
Mishawaka, IN 53792-0001

Mailing address

121 S. St Louis Blvd
St. Joseph Valley Anesthesia
South Bend, IN 46617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110603000060 IN Practitioner - Anesthesiology 1759568538 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Wisconsin, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Laporte PCGroup PAC ID 3779614508, 15 clinicians
Australia Anesthesia Management LLCGroup PAC ID 9436671864, 58 clinicians
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

Practice addresses (Care Compare)

1331 State St
La Porte, IN 46350-3112
Phone (219) 326-1234

200 High Park Ave
Goshen, IN 46526-4810
Phone (574) 364-1000

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-5000

Hospital & facility affiliations

  • Saint Joseph Regional Medical Center Hospital, Mishawaka, IN, CCN 150012
  • Northwest Health-la Porte Hospital, La Porte, IN, CCN 150006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01069656AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Oct 31, 2025 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Current Accepting new patients
Australia Anesthesia Management LLC Anesthesiology CurrentSince Nov 19, 2025 Accepting new patients
Anesthesia Associates of Laporte PC Anesthesiology CurrentSince Apr 16, 2025 Accepting new patients
Sda Consultants PLLC Anesthesiology CurrentSince Aug 1, 2021 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Oct 31, 2025 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683

1605 Winsted Dr
Goshen, IN 46526
Phone (574) 271-0013

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

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

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

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

Interoperability endpoints

  • Direct secure messaging: klambourne1147817@direct.trinity-health.org

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 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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1982804357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S. ST LOUIS BLVD",
            "address_2": "ST. JOSEPH VALLEY ANESTHESIA",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46617",
            "fax_number": "574-233-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 HOLY CROSS PARKWAY",
            "address_2": "ST. JOSEPH REGIONAL MEDICAL CENTER - ANESTHESIA DEPT",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "537920001",
            "telephone_number": "574-335-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBOURNE",
        "first_name": "KATHRYN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01069656A",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.