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

Katherine Lisoni, MD

Individual provider Family Medicine Physician · NPI 1780601351

Katherine Lisoni, MD is a Family Practice in Mishawaka, Indiana. Graduated from Northwestern University Feinberg Medical School in 2003, 23 years ago. Practices with Healthlinc Inc, a 88-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
23
Trained at
Northwestern University Feinberg Medical School
Licensed in
IN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

420 W 4th St
Mishawaka, IN 46544-1948
Phone: (574) 307-7673
Fax: (574) 307-7692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1960 Northside Blvd, South Bend, IN 46615 — (574) 307-7673

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 11011690 (IN)

Record details

NPI number1780601351
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESFebruary 18, 2021
Certification dateFebruary 18, 2021
Mailing address2401 Valley Dr, Valparaiso, IN 46383-2520

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 2003 (23 years in practice)
Group practice Healthlinc Inc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mishawaka