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

Peter Douglas Stephan, MD

Individual provider Family Medicine Physician · NPI 1548266307

Peter Douglas Stephan, MD is a Family Practice in Kokomo, Indiana. Graduated from Northwestern University Feinberg Medical School in 1985, 41 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Georgia and Indiana.

Years since qualifying
41
Trained at
Northwestern University Feinberg Medical School
Licensed in
FL, GA, IN
In the registry since
2005
Specialties on file
3
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

188 E Southway Blvd
Kokomo, IN 46902-3650
Phone: (765) 453-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 712 W Main St, Greentown, IN 46936-1045 — (765) 628-3317

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01035748A (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 053956 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 55024 (FL)

Record details

NPI number1548266307
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2005
Last updated in NPPESAugust 3, 2022
Certification dateAugust 3, 2022
Mailing address188 E Southway Blvd, Kokomo, IN 46902-3650

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 1985 (41 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kokomo