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KIMBERLY ELAINE FAGEN M.D.
NPI 1194795609
Radiology - Pediatric Radiology in Baltimore, MD

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
600 N WOLFE ST, BALTIMORE, MD 21287(410) 955-5000 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2025, Mar 8, 2023, Jan 27, 2020 and 3 more (6 updates tracked since 2017).

About Kimberly Elaine Fagen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY ELAINE FAGEN M.D. (NPI 1194795609) is an individual pediatric radiology provider in Baltimore, Maryland, licensed in Maryland (D0083915) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins All Children's Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194795609
Entity TypeIndividualFemale
Primary Taxonomy2085P0229X
Provider Legal NameKIMBERLY ELAINE FAGENCredential: M.D.
Location Address600 N WOLFE STBaltimore, MD 21287-0005
Mailing Address6201 Greenleigh AveBaltimore, MD 21220-2004 · (410) 933-1340
Phone(410) 955-5000
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1999
Enumeration DateJanuary 25, 2006
Last NPPES UpdateFebruary 27, 20256 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
✔ NPI 1194795609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
Licenses✔ Licensed in MD · D0083915✔ Licensed in FL · ME138564
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License D83915 (MD)
600 N WOLFE ST, Baltimore, MD 21287
Open in Google Maps ↗

Secondary Practice Locations 2

Location 111995 Singletree Ln Ste 500Eden Prairie, MN 55344-5349 · Phone (952) 595-1301 · Fax (612) 294-4903
Location 2501 6th St SSt Petersburg, FL 33701-4630 · Phone (727) 898-7451

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Elaine Fagen M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426239138
PECOS Enrollment IDI20110228000655
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johns Hopkins All Children's Hospital

Childrens · Saint Petersburg, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number103300
Location501 Sixth Avenue SouthSaint Petersburg, FL 33701 · Pinellas County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMELA KIMZEY DONOHUE SCD, PA-C
Physician Assistant (Medical)
600 N WOLFE ST, NELSON 2-133
BALTIMORE, MD 21287
Baltimore City (410) 955-5232
MR. CHRISTOPHER DAVID SCHRIEBER M.S., PA-C
Physician Assistant
600 N WOLFE ST, MARBURG B-186
BALTIMORE, MD 21287
Baltimore City (410) 955-8708
DR. SABRINA CHRISTINE SOPHA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-3580
SANDRA KING D.H.
Dental Hygienist
600 N WOLFE ST, BLALOCK 266
BALTIMORE, MD 21287
Baltimore City (410) 955-6662
THERESA J RUDDY C.P.N.P., CRNP
Nurse Practitioner (Acute Care)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5260
DR. SUMAN PAUL M.B.B.S, PHD
Internal Medicine (Medical Oncology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
MS. SARAH CATHERINE COLLICA
Psychiatry & Neurology (Psychiatry)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (443) 287-4701
JEFF S EHRESMAN
Student in an Organized Health Care Education/Training Program
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Fagen's NPI number?

The NPI number for Kimberly Fagen is 1194795609. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Kimberly Fagen located?

Kimberly Fagen practices at 600 N Wolfe St, Baltimore, MD 21287. The listed phone number is (410) 955-5000.

What is Kimberly Fagen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Kimberly Fagen enrolled in Medicare?

Yes. Kimberly Fagen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kimberly Fagen accept?

Health plans from AmeriHealth Caritas Next list Kimberly Fagen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kimberly Fagen affiliated with any hospitals?

According to CMS data, Kimberly Fagen is affiliated with Johns Hopkins All Children's Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Fagen was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.