Kenneth Raymond Lindyberg, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

D0047056 Issued in MD

Practice address

6701 N Charles St
Suite 4430
Baltimore, MD 21204

Phone

(443) 849-6212

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kenneth R. Lindyberg MD, PC

  • Surgery Physician
  • Baltimore, MD
  • NPI 1578510871
  NPD (past) Authorized official
• 115 East Melrose Opco LLC

  dba Autumn Lake Healthcare at Long Green

  • Skilled Nursing Facility
  • Baltimore, MD
  • NPI 1043896814
  NPD (past)
• Complete Care at Multi Medical Center LLC

  • Skilled Nursing Facility
  • Towson, MD
  • NPI 1790365583
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1366483919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 GREENE RD",
            "city": "BALDWIN",
            "state": "MD",
            "postal_code": "210139102",
            "telephone_number": "410-557-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST",
            "address_2": "SUITE 4430",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "443-849-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDYBERG",
        "first_name": "KENNETH",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D47056",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0047056",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0047056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jewel Lindsey
• Jodi Ann Lindsey, M.D.
• Sierra Louise Lindsey, MD
• Wilfreda Lindsey, MD
• John Lindsley, PHARMD
• Ellen Joy Line, LCSW-C
• Jennifer Linehan, CRNP
• Alejandro Manuel Linera Asencio, MD
• Nicole Lines
• Geoffrey Ling, M.D.

• General Practice Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.