Individual provider Active NPI

Karen Lynn Knudsen, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Williamsburg, VA
National Provider Identifier
1659574309
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101247423 Issued in VA
Practice address
5424 Discovery Park Boulevard
BLDG B Ste 201
Williamsburg, VA 23188
Phone
(757) 903-4808
Fax
(757) 707-3507
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101247423 VA Primary

Addresses

Primary practice location

5424 Discovery Park Boulevard
BLDG B Ste 201
Williamsburg, VA 23188

Mailing address

860 Omni Blvd
Suite 303
Newport News, VA 23606-4430
Phone (757) 232-8769

Other practice location 1

704 Thimble Shoals Blvd
Suite 300A
Newport News, VA 23606-4544
Phone (757) 595-4300

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
I20101101001113 VA Practitioner - Endocrinology 0244424489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Yale University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidewater Physicians Multispecialty Group, PCGroup PAC ID 2860398526, 259 clinicians

Practice addresses (Care Compare)

12655 Warwick Blvd
Suite B
Newport News, VA 23606-2501
Phone (757) 595-3570

12655 Warwick Blvd a
Newport News, VA 23606-2501
Phone (757) 595-9880

408 16TH St
West Point, VA 23181-9577
Phone (804) 843-3131

4125 Ironbound Rd
Suite 200
Williamsburg, VA 23188-2666
Phone (757) 345-2829

860 Omni Blvd
Newport News, VA 23606-4430

Hospital & facility affiliations

  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
  • Riverside Walter Reed Hospital Hospital, Gloucester, VA, CCN 490130
  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066
  • Mary Immaculate Hospital Hospital, Newport News, VA, CCN 490041

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC Endocrinology, Diabetes & Metabolism CurrentSince Aug 1, 2010 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Aug 1, 2010 Accepting new patients

Locations

704 Thimble Shoals Blvd
Ste 300A
Newport News, VA 23606
Phone (757) 595-4300

860 Omni Blvd
Ste 105
Newport News, VA 23606
Phone (757) 873-0952

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

860 Omni Blvd
Ste 303
Newport News, VA 23606
Phone (757) 232-8777

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1659574309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD",
            "address_2": "SUITE 303",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064430",
            "telephone_number": "757-232-8769",
            "fax_number": "757-232-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 DISCOVERY PARK BOULEVARD",
            "address_2": "BLDG B STE 201",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23188",
            "telephone_number": "757-903-4808",
            "fax_number": "757-707-3507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 Thimble Shoals Blvd",
            "address_2": "Suite 300A",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064544",
            "country_code": "US",
            "telephone_number": "757-595-4300",
            "fax_number": "757-591-9297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNUDSEN",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101247423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.