Individual provider Active NPI

Katherine Beckett Berger, MD

  • Pediatrics Physician
  • Virginia Beach, VA
National Provider Identifier
1275952376
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101261785 Issued in VA
Practice address
1201 Lake James Dr Ste 200
Virginia Beach, VA 23464-6780
Phone
(757) 523-0022
NPI assigned
Apr 16, 2014
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 28142 WV
Pediatrics Physician 208000000X 0101261785 VA Primary

Addresses

Primary practice location

1201 Lake James Dr Ste 200
Virginia Beach, VA 23464-6780

Mailing address

1201 Lake James Dr Ste 200
Virginia Beach, VA 23464-6780
Phone (757) 523-0022

Other practice location 1

9000 Coombs Farm Rd Ste 102
Morgantown, WV 26508-1150
Phone (757) 663-1160

Other practice location 2

601 Children's Lane
Norfolk, VA 23507-9982
Phone (757) 668-7486

Other practice location 3

139 Conference Center Way Ste 113
Bridgeport, WV 26330
Phone (757) 663-1160

Other names 1

  • Ms. Katherine Marie Beckett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20170823002030 VA Practitioner - Pediatric Medicine 4587965975 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28142WVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Pediatrics CurrentSince Apr 1, 2021 Accepting new patients
Childrens Specialty Group PLLC Pediatrics CurrentSince Jul 1, 2017 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

8644 Sudley Rd
#220
Manassas, VA 20110

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

1201 Lake James Dr
Ste 200
Virginia Beach, VA 23464
Phone (757) 523-0022

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1275952376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 LAKE JAMES DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646780",
            "telephone_number": "757-523-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LAKE JAMES DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646780",
            "telephone_number": "757-523-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 Coombs Farm Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265081150",
            "country_code": "US",
            "telephone_number": "757-663-1160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Children's Lane",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235079982",
            "country_code": "US",
            "telephone_number": "757-668-7486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "139 Conference Center Way Ste 113",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "WV",
            "postal_code": "26330",
            "country_code": "US",
            "telephone_number": "757-663-1160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGER",
        "first_name": "KATHERINE",
        "middle_name": "BECKETT",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "28142",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101261785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "BECKETT",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.