Individual provider Active NPI

Kathy Linne Von Berg, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Baltimore, MD
National Provider Identifier
1003806449
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
3400 N Charles St
Baltimore, MD 21218-2608
Phone
(410) 516-8270
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0054379 MD
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

3400 N Charles St
Baltimore, MD 21218-2608

Mailing address

1 E 31St St Ste N200
Baltimore, MD 21218-3902
Phone (410) 516-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251027002592 MD Order and Referring Only - Family PracticePractitioner - Family Practice 6901395474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0054379MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Student Health and Wellness Center CurrentSince Dec 21, 2025 Accepting new patients

Locations

1 E 31st St
#N200
Baltimore, MD 21218
Phone (410) 516-3311

Interoperability endpoints

  • Direct secure messaging: klinnevonberg140784@direct.hopkinsmedicine.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1003806449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E 31ST ST STE N200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183902",
            "telephone_number": "410-516-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182608",
            "telephone_number": "410-516-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINNE VON BERG",
        "first_name": "KATHY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0054379",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.