Active NPI
Katherine Neitzke, MD
- Family Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD600005848
- Practice address
- 1111 N Charles St
Baltimore, MD 21201-5505 - Phone
- (108) 372-0504
- Fax
- (866) 629-0091
- NPI assigned
- Mar 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD600005848 | DC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | ML60850747 | WA | |
| Family Medicine Physician | 207Q00000X | D0091098 | MD |
Addresses
Primary practice location
1111 N Charles St
Baltimore, MD 21201-5505
Mailing address
4 Atlantic St SW
Washington, DC 20032-2350
Phone (202) 470-3080
Other practice location 1
2155 Champlain St NW
Washington, DC 20009-2795
Phone (202) 470-3080
Other practice location 2
4 Atlantic St SW
Washington, DC 20032-2350
Phone (202) 470-3080
Other practice location 3
2120 Bladensburg Rd NE
Washington, DC 20018-1440
Phone (202) 470-3080
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 N Charles St
Baltimore, MD 21201-5505
Phone (410) 837-2050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0091098 | MD | MD | Family Medicine Physician |
| ML60850747 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chase Brexton Health Services, Inc. | Current | Accepting new patients | |
| Chase Brexton Health Services, Inc. | Current | Accepting new patients |
Locations
1111 N Charles St
Baltimore, MD 21201
Phone (410) 486-5991
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1588606305
-
- Federally Qualified Health Center (FQHC)
- Columbia, MD
- NPI 1376589309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1326542440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 ATLANTIC ST SW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200322350",
"telephone_number": "202-470-3080",
"fax_number": "202-232-8494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 N CHARLES ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015505",
"telephone_number": "108-372-0504",
"fax_number": "866-629-0091"
}
],
"practiceLocations": [
{
"address_1": "2155 Champlain St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200092795",
"country_code": "US",
"telephone_number": "202-470-3080",
"fax_number": "202-232-8494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4 Atlantic St SW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200322350",
"country_code": "US",
"telephone_number": "202-470-3080",
"fax_number": "202-232-8494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2120 Bladensburg Rd NE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200181440",
"country_code": "US",
"telephone_number": "202-470-3080",
"fax_number": "202-232-8494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEITZKE",
"first_name": "KATHERINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-22",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "MD600005848",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "ML60850747",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0091098",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.