Individual provider Active NPI

Karin Diane Berg, MD

  • Anatomic Pathology Physician
  • Tukwila, WA
National Provider Identifier
1740220953
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
MD70134737 Issued in WA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20060929000376 TN Practitioner - Pathology 5890790653 Reassigns benefits to 1 organization
I20110308000409 TX Practitioner - Pathology 5890790653 Reassigns benefits to 1 organization
I20140227002267 WY Practitioner - Pathology 5890790653 Reassigns benefits to 1 organization
I20221017000943 VT Practitioner - Pathology 5890790653 Reassigns benefits to 1 organization
I20251016001999 AZ Practitioner - Pathology 5890790653 Reassigns benefits to 1 organization

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
Sagis PLLCGroup PAC ID 3274797212, 27 clinicians

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

LicenseStateTypeSpecialty
DR0055186COMDAnatomic Pathology Physician
TL2359WYMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poplar Healthcare, PLLC CurrentSince May 1, 2023 Accepting new patients
Sagis, PLLC CurrentSince Sep 17, 2024 Accepting new patients
Sagis PLLC CurrentSince Sep 17, 2024 Accepting new patients
University of Vermont Medical Center Inc CurrentSince Sep 7, 2022 Accepting new patients
Professional Pathology of Wyoming CurrentSince Jan 3, 2025 Accepting new patients
Gastroenterology Associates, LLC CurrentSince Nov 18, 2013 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.