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EMILY MARIE KISOR M.D.
NPI 1659614964
Pediatrics in Elkhart, IN

Active since April 04, 2013PECOS Enrolled
1627 E BRISTOL ST, ELKHART, IN 46514(574) 262-0313 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2025, Mar 30, 2021, Jun 13, 2016 (3 updates tracked since 2016).

About Emily Marie Kisor M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY MARIE KISOR M.D. (NPI 1659614964) is an individual pediatrics provider in Elkhart, Indiana, licensed in Indiana (01076081) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659614964
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameEMILY MARIE KISORCredential: M.D.
Location Address1627 E BRISTOL STElkhart, IN 46514-3817
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-3725
Phone(574) 262-0313
Sole ProprietorNo
Enumeration DateApril 4, 2013
Last NPPES UpdateAugust 12, 20253 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1659614964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01076081
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1627 E BRISTOL ST, Elkhart, IN 46514
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Secondary Practice Locations 2

Location 12120 Rieth Blvd Ste 200Goshen, IN 46526-5867 · Phone (574) 262-0313
Location 22606 Peddlers Village Rd Ste 218Goshen, IN 46526-1004 · Phone (574) 262-0313

Other Identifiers 1

Medicaid201354790IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Marie Kisor M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46514 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSEMARY J EASH FNP
Nurse Practitioner (Family)
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313
MR. JORDAN ALLEN HUNSBERGER DO
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313
DR. SHAHIR OKHOVAT-GHAHFAROKHI M.D.
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313
DR. ANDREA BETH BONTRAGER YODER PHD, RDN, CD
Dietitian, Registered
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313
DR. SU CHOO CHANG MD
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313
BRISTOL STREET PEDIATRICS, P.C.
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313
SANDRA H. MORGAN M.D.
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313
JODY L SROF FNP
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313

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 Emily Kisor's NPI number?

The NPI number for Emily Kisor is 1659614964. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Where is Emily Kisor located?

Emily Kisor practices at 1627 E Bristol St, Elkhart, IN 46514. The listed phone number is (574) 262-0313.

What is Emily Kisor's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Emily Kisor enrolled in Medicare?

Yes. Emily Kisor is registered in the Medicare PECOS enrollment system.

What insurance does Emily Kisor accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Emily Kisor 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 Emily Kisor was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.