DR. KATHLEEN MARY BERCHELMANN MD
NPI 1376565416
Pediatrics in New Canaan, CT
About Dr. Kathleen Mary Berchelmann Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATHLEEN MARY BERCHELMANN MD (NPI 1376565416) is an individual pediatrics provider in New Canaan, Connecticut, licensed in Connecticut (57242) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dover, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kathleen Mary Berchelmann Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Kathleen Berchelmann reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Canaan, CT 06840
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: My Catholic Doctor PLLC
- 10 clinicians in this Medicare group
Stamford, CT 06907
- Reassigned Medicare billing, Connecticut enrollment
- 496 clinicians in this Medicare group
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 628 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06840 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kathleen Berchelmann's NPI number?
The NPI number for Kathleen Berchelmann is 1376565416. It was assigned to this individual provider in the NPPES registry on July 25, 2006.
Where is Kathleen Berchelmann located?
Kathleen Berchelmann practices at 711 Silvermine Rd, New Canaan, CT 06840. The listed phone number is (314) 888-5233.
What is Kathleen Berchelmann's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kathleen Berchelmann enrolled in Medicare?
Yes. Kathleen Berchelmann is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kathleen Berchelmann's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Berchelmann reassigns Medicare benefits to 3 organizations: My Catholic Doctor, P.L.L.C. (New Canaan, CT), Stamford Health Medical Group Inc (Stamford, CT) and Washington University (Saint Louis, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Berchelmann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Berchelmann accept?
Health plans from Anthem Blue Cross and Blue Shield list Kathleen Berchelmann as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kathleen Berchelmann was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Kathleen Mary Berchelmann, MD · NPI 1376565416
Pediatrics physician in New Canaan, Connecticut. Individual provider, active in the CMS NPPES registry since July 25, 2006.
## Identity
- **NPI:** 1376565416 (Entity type: Individual)
- **Enumerated:** July 25, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 57242 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 711 SILVERMINE RD, New Canaan, CT 06840-4329
- **Phone:** (314) 888-5233 · **Fax:** (203) 590-8644
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): My Catholic Doctor, P.L.L.C. (NPI 1396201307, New Canaan, CT); Stamford Health Medical Group Inc (NPI 1154633980, Stamford, CT); Washington University (NPI 1194765685, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** March 31, 2025
- **Other identifiers:** Medicaid 3148255 (NH)
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Source: [NPI Profile](https://npiprofile.com/npi/1376565416) · Data from the CMS NPPES public registry.