Individual provider Active NPI

Karen Beth Kaufman, D.O.

  • Allergy & Immunology Physician
  • Vienna, VA
National Provider Identifier
1730234832
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
0102204174 Issued in VA
Practice address
1945 Old Gallows Rd Ste 205
Vienna, VA 22182-3931
Phone
(703) 403-5413
Fax
(833) 314-0496
NPI assigned
Jan 25, 2007
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 0102204174 VA
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X 0102204174 VA
Allergy & Immunology (Internal Medicine) Physician 207RA0201X DO.000203 LA
Allergy & Immunology (Internal Medicine) Physician 207RA0201X NE526 NE
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 0102204174 VA
Pediatric Allergy/Immunology Physician 2080P0201X 0102204174 VA
Allergy & Immunology Physician 207K00000X 0102204174 VA Primary

Addresses

Primary practice location

1945 Old Gallows Rd Ste 205
Vienna, VA 22182-3931

Mailing address

1945 Old Gallows Rd Ste 205
Vienna, VA 22182-3931

Other names 1

  • Dr. Karen Beth Jacobson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20150902000348 DC Practitioner - Allergy/Immunology 2769628072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Nova Southeastern College of Osteo Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kaufman Allergy Asthma and Immunology, PLLCGroup PAC ID 5092126789, 3 clinicians

Practice addresses (Care Compare)

1945 Old Gallows Rd
Suite 205
Vienna, VA 22182-3931
Phone (703) 403-5413

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102204174VAMDAllergy Physician
DO.000203LAMDAllergy & Immunology (Internal Medicine) Physician
NE526NEMDAllergy & Immunology (Internal Medicine) Physician
526NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaufman Allergy Asthma and Immunology, PLLC Allergy & Immunology CurrentSince Jan 21, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1945 Old Gallows Rd
Ste 205
Vienna, VA 22182
Phone (703) 403-5413

8320 Old Courthouse Rd
Ste 310
Vienna, VA 22182
Phone (703) 403-5413

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22644/brand/1/csg/1/fhir/r4
  • Direct secure messaging: karen.kaufman.1@22644.direct.athenahealth.com
  • Direct secure messaging: kkaufman@kaufmanallergy.emadirect.md

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, 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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1730234832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 OLD GALLOWS RD STE 205",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 OLD GALLOWS RD STE 205",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823931",
            "telephone_number": "703-403-5413",
            "fax_number": "833-314-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "KAREN",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "VA",
            "license": "0102204174",
            "primary": false
        },
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "VA",
            "license": "0102204174",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "LA",
            "license": "DO.000203",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NE",
            "license": "NE526",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "VA",
            "license": "0102204174",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "VA",
            "license": "0102204174",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0102204174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "JACOBSON",
            "middle_name": "BETH",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.