Carly Berg, MD
Individual provider Active NPI Pediatrics Physician · Arlington, WA
NPI 1336554658 · NPPES record last updated Jan 16, 2026
Key facts
- NPI
- 1336554658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD70007528 (WA)
- Practice address
- 875 Wesley St
Arlington, WA 98223-1613 - Phone
- (360) 435-6525
- Fax
- (360) 435-2634
- NPI assigned
- Jun 25, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170829003425 | IL | Practitioner - Pediatric Medicine | 5597038471 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014020062 | MO | MD | Pediatrics Physician |
| MD70007528 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie Family Health Center Inc | Current |
Accepting new patients | |
| Erie Family Health Center, Inc | Current | Accepting new patients | |
| Erie Family Health Center Inc. | Current |
Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Past | Accepting new patients |
Locations
1701 W Superior St
Chicago, IL 60622
Phone (312) 432-7392
1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381
2750 W North Ave
Chicago, IL 60647
Phone (312) 432-2767
1504 S Albany Ave
Chicago, IL 60623
Interoperability endpoints
- cberg368110@direct.ochin.org
- cberg79139@skagit.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD70007528 | WA | Yes |
| Pediatrics Physician | 208000000X | 2014020062 | MO |
Addresses
Primary practice location
875 Wesley St
Arlington, WA 98223-1613
Mailing address
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cberg79139@skagit.direct-ci.com | Direct |
Other providers in Arlington, WA
- Beautiful Autism
- Kanani Makayla Lynn Beck
- Ann Begert
- Mariel Benfit
- Rebecca Claudia Benolerao
- Eric Bergemeier
- Sara Lacey Berlin
- Cebell Gallion Berry
- Cindy L Beske
- Heidi Nicole Bettinger
All providers in Arlington, WA · Pediatrics Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.