DR. KATHERINE A KWIATKOWSKI (MD) – Psychiatry Physician, NPI 1003076399

DR. KATHERINE A KWIATKOWSKI (MD) is a healthcare provider. based in Champaign, Illinois. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. MD432094 (PA). The NPI Number for DR. KATHERINE A KWIATKOWSKI (MD) is 1003076399

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHERINE A KWIATKOWSKI (MD)
NPI
1003076399
Phone
(217) 383-1850
Address
1813 W. KIRBY AVE
Enumeration Date
11 June 2008
Last Update Date
5 January 2022

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
2173261330
Graduation Year
2004 (22 years ago)
PAC ID
6305919028
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20120210000383
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:17State licenses:3Digital endpointsOther names

1,367 PSYCHIATRY in IL

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Provider Addresses for DR. KATHERINE A KWIATKOWSKI (MD)

  • Carle Champaign on Kirby, 1813, West Kirby Avenue, Champaign, Champaign County, Illinois, 61821, United States

    STE. 120

    CHAMPAIGN, IL 618215410

    Phone: (217) 383-1850

    Fax: (217) 383-3439

    Type: Location

  • 325 DISTEL CIR

    LOS ALTOS, CA 940221408

    Phone: (650) 853-2904

    Type: Mailing

  • 795 EL CAMINO REAL

    PALO ALTO, CA 943012302

    Phone: (650) 853-2904

    Type: Location

  • Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    BWPC

    URBANA, IL 618012500

    Phone: (217) 383-6941

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220110001655IPsychiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes23853$0
90833Psychotherapy with evaluation and management visit, 30 minutes17748$0
90792Psychiatric diagnostic evaluation with medical services2626$0
View full utilization report →

Insurance plans in this area (ZIP 61821)

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Provider's Procedures

DR. KATHERINE A KWIATKOWSKI (MD) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYIL90792Psychiatric diagnostic evaluation with medical services1919

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577515774View full group profile
NameSpecialtyState
P S Y C H I A T R YIL
G A S T R O E N T E R O L O G YIL
Family Practice, Psychiatry, Family PracticeNY
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
Interventional Radiology, Diagnostic RadiologyDE
P O D I A T R YIL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. KATHERINE A KWIATKOWSKI (MD)?
NPI 1003076399 is assigned to DR. KATHERINE A KWIATKOWSKI (MD) under the national enumeration system.
Is DR. KATHERINE A KWIATKOWSKI (MD)'s NPI currently valid?
The extract we use shows DR. KATHERINE A KWIATKOWSKI (MD) as active.
Does DR. KATHERINE A KWIATKOWSKI (MD) list a primary specialty?
If you are matching referrals, note Psychiatry Physician for DR. KATHERINE A KWIATKOWSKI (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. KATHERINE A KWIATKOWSKI (MD)?
We surface Champaign, Illinois for DR. KATHERINE A KWIATKOWSKI (MD) based on available NPPES addresses.
What if Champaign, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.