Karen E Anderson, M.D
Individual provider Active NPI Psychiatry Physician · Baltimore, MD
NPI 1891718359 · NPPES record last updated Apr 11, 2011
Key facts
- NPI
- 1891718359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- D0058065 (MD)
- Practice address
- 701 W Pratt St
4TH Floor
Baltimore, MD 21201-1023 - Phone
- (410) 328-5881
- Fax
- (410) 328-8552
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of Chicago, Pritzker School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Medstar Medical Group II LLC
Suburban/NRH Medical Rehabilitation Inc
Practice addresses (Care Compare)
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2000
6410 Rockledge Dr
Bethesda, MD 20817-1844
Hospital & facility affiliations
- Medstar Georgetown University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140509001326 | DC | Practitioner - Psychiatry | 8628255817 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Georgetown Medical Center, Inc | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Medstar - Georgetown Medical Center, Inc. | Current |
Accepting new patients | |
| University of Maryland Psychiatry Associates PA | Past |
Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
2115 Wisconsin Ave NW
Ste 120
Washington, DC 20007
Phone (202) 687-1997
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0058065 | MD | Yes |
Addresses
Primary practice location
701 W Pratt St
4TH Floor
Baltimore, MD 21201-1023
Mailing address
701 W Pratt St
4TH Floor
Baltimore, MD 21201-1023
Phone (410) 328-5881
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 467700500 | Medicaid | MD |
NPI Registry JSON
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302480000000",
"number": "1891718359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W PRATT ST",
"address_2": "4TH FLOOR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011023",
"telephone_number": "410-328-5881",
"fax_number": "410-328-8552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W PRATT ST",
"address_2": "4TH FLOOR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011023",
"telephone_number": "410-328-5881",
"fax_number": "410-328-8552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KAREN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2011-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0058065",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "467700500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Johanna Anderson
- John E Anderson
- Joyce Adrienne Anderson
- Judith Andrea Anderson
- Karen Anderson
- Karen Quick Anderson
- Kathleen Dianne Anderson
- Kathy McKee Anderson
- Katrina M Anderson
- Kimberly Anderson
All providers in Baltimore, MD · Psychiatry Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.