Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kevin Michael Stockmaster, DO

Individual provider Anesthesiology Physician · NPI 1699930990

Dr. Kevin Michael Stockmaster, DO is an Anesthesiology in Fort Wayne, Indiana. Qualified in 2005, 21 years ago. Practices with Racc Medical Associates LLC, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
21
Licensed in
IN
In the registry since
2008
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

10315 Dawsons Creek Blvd Ste AB
Fort Wayne, IN 46825-1912
Phone: (260) 436-7875
Fax: (260) 432-9812
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 02003226A (IN)

Record details

NPI number1699930990
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 25, 2008
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing addressPo Box 843603, Dallas, TX 75284-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Also practisesPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Racc Medical Associates Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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