Individual provider Active NPI

Karen Leigh Blackburn, M.D.

  • Obstetrics & Gynecology Physician
  • Bethesda, MD
National Provider Identifier
1396062956
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0078061 Issued in MD
Practice address
10401 Old Georgetown Rd Ste 307
Bethesda, MD 20814-1911
Phone
(301) 897-0945
NPI assigned
Apr 22, 2010
Last updated
Feb 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD042139 DC
Obstetrics & Gynecology Physician 207V00000X D0078061 MD Primary

Addresses

Primary practice location

10401 Old Georgetown Rd Ste 307
Bethesda, MD 20814-1911

Mailing address

2408 39TH St NW
Washington, DC 20007-1703
Phone (804) 437-2852

Other practice location 1

1145 19th St NW
Suite 410
Washington, DC 20036-3701
Phone (202) 331-1740

Other practice location 2

4001 Brandywine St NW Ste 300
Washington, DC 20016
Phone (202) 449-9570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140721001882 DC Practitioner - Obstetrics/Gynecology 2365668787 Reassigns benefits to 4 organizations
I20201214003170 VA Practitioner - Obstetrics/Gynecology 2365668787 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

10401 Old Georgetown Rd
Bethesda, MD 20814-1911

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD042139DCMDObstetrics & Gynecology Physician
D0078061MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Obstetrics & Gynecology CurrentSince Mar 30, 2021 Accepting new patients
Bloom OB GYN, LLC Obstetrics & Gynecology CurrentSince Jun 1, 2017 Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 30, 2021 Accepting new patients
Fairfax Loudoun OBGYN, Inc Obstetrics & Gynecology CurrentSince Jul 21, 2021 Accepting new patients
Pulmonologists, PC Past Accepting new patients

Locations

1145 19th St NW
Ste 410
Washington, DC 20036
Phone (202) 331-1740

4001 Brandywine St NW
Ste 300
Washington, DC 20016
Phone (202) 331-1740

10401 Old Georgetown Rd
Ste 307
Bethesda, MD 20814
Phone (301) 571-5190

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

3930 Pender Dr
Ste 60
Fairfax, VA 22030
Phone (571) 249-0717

8644 Sudley Rd
#220
Manassas, VA 20110

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5652/brand/1/csg/1/fhir/r4
  • Direct secure messaging: karen.blackburn.1@8042.direct.athenahealth.com

Organizations & group practices 6

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": "1271894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1396062956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 39TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200071703",
            "telephone_number": "804-437-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 OLD GEORGETOWN RD STE 307",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141911",
            "telephone_number": "301-897-0945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1145 19th St NW",
            "address_2": "Suite 410",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200363701",
            "country_code": "US",
            "telephone_number": "202-331-1740",
            "fax_number": "202-296-9784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4001 Brandywine St NW Ste 300",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20016",
            "country_code": "US",
            "telephone_number": "202-449-9570",
            "fax_number": "202-449-9513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "KAREN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-22",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DC",
            "license": "MD042139",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0078061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.