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

Stephanie S Kidd, DO

Individual provider Family Medicine Physician · NPI 1689194813

Stephanie S Kidd, DO is a Family Practice in Roanoke, Indiana. Qualified in 2017, 9 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2017
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

10101 Ernst Rd Ste 1200
Roanoke, IN 46783-9711
Phone: (260) 234-5400
Fax: (260) 235-5410
Show map & directions

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

Additional practice locations (1)

  • 7230 Engle Rd Ste 100, Fort Wayne, IN 46804-2234 — (260) 234-5400

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 02005696A (IN)

Record details

NPI number1689194813
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 20, 2017
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025
Mailing address250 N Shadeland Ave, Indianapolis, IN 46219-4959

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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