Active NPI
Karin Diane Berg, MD
- Anatomic Pathology Physician
- Tukwila, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- MD70134737
- Practice address
- 2811 S 102ND St Ste 170
Tukwila, WA 98168-1870 - Phone
- (509) 753-7222
- NPI assigned
- Jun 7, 2006
- Last updated
- Sep 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | TL2359 | WY | |
| Anatomic Pathology Physician | 207ZP0101X | DR0055186 | CO | |
| Anatomic Pathology Physician | 207ZP0101X | 41206 | TN | |
| Anatomic Pathology Physician | 207ZP0101X | MD70134737 | WA | Primary |
Addresses
Primary practice location
2811 S 102ND St Ste 170
Tukwila, WA 98168-1870
Mailing address
PO Box 5183
Memphis, TN 38101-5183
Phone (901) 526-7444
Other practice location 1
15912 E Marietta Ave
Spokane Valley, WA 99216-2552
Phone (509) 753-7222
Other practice location 2
3495 Hacks Cross Rd
Memphis, TN 38125-8803
Phone (901) 526-7444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, TX, WY, VT, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Vermont College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4131 Directors Row
Houston, TX 77092-8703
Phone (877) 697-2447
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR0055186 | CO | MD | Anatomic Pathology Physician |
| TL2359 | WY | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poplar Healthcare, PLLC | Current | Accepting new patients | |
| Sagis, PLLC | Current | Accepting new patients | |
| Sagis PLLC | Current | Accepting new patients | |
| University of Vermont Medical Center Inc | Current | Accepting new patients | |
| Professional Pathology of Wyoming | Current | Accepting new patients | |
| Gastroenterology Associates, LLC | Current | Accepting new patients | |
| Professional Pathology of Wyoming | Past | Accepting new patients |
Locations
4582 N 1st Ave
Ste 120
Tucson, AZ 85718
Phone (520) 888-2121
150 Collins St
Memphis, TN 38112
Phone (901) 526-1912
1033 La Posada Dr
Ste 365
Austin, TX 78752
4131 Directors Row
Houston, TX 77092
Phone (713) 586-6705
10918 Vance Jackson Rd
Ste 100
San Antonio, TX 78230
Phone (210) 558-9996
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171
1441 Wilkins Cir
Casper, WY 82601
Phone (307) 265-1792
Organizations & group practices 7
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.
-
- Specialist
- Memphis, TN
- NPI 1346271251
-
- Anatomic Pathology & Clinical Pathology Physician
- Casper, WY
- NPI 1801181730
-
dba Uvm Medical Center
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
-
- Gastroenterology Physician
- Casper, WY
- NPI 1811909807
-
- Clinical Medical Laboratory
- Houston, TX
- NPI 1659031433
-
- Clinical Medical Laboratory
- Casper, WY
- NPI 1922953405
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Huntsville Memorial Hospital
- General Acute Care Hospital
- Huntsville, TX
- NPI 1245878990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1740220953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5183",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381015183",
"telephone_number": "901-526-7444",
"fax_number": "901-473-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 S 102ND ST STE 170",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981681870",
"telephone_number": "509-753-7222"
}
],
"practiceLocations": [
{
"address_1": "15912 E Marietta Ave",
"address_purpose": "LOCATION",
"city": "Spokane Valley",
"state": "WA",
"postal_code": "992162552",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3495 Hacks Cross Rd",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381258803",
"country_code": "US",
"telephone_number": "901-526-7444",
"fax_number": "901-473-0660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERG",
"first_name": "KARIN",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "WY",
"license": "TL2359",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "CO",
"license": "DR0055186",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "TN",
"license": "41206",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "WA",
"license": "MD70134737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.