KIMBERLY ELAINE FAGEN M.D.
NPI 1194795609
Radiology - Pediatric Radiology in Baltimore, MD
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
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Fagen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville, FL 32207
- Reassigned Medicare billing, Florida enrollment
- 703 clinicians in this Medicare group
St Petersburg, FL 33701
- Reassigned Medicare billing, Florida enrollment
- 360 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, FLOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21287
BALTIMORE, MD 21287
BALTIMORE, MD 21287
BALTIMORE, MD 21287
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.
Which organizations bill Medicare for Kimberly Fagen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Fagen reassigns Medicare benefits to 2 organizations: The Nemours Foundation (Jacksonville, FL) and Pediatric Physician Services, Inc. (St Petersburg, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Fagen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Fagen accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Cigna HealthCare of Florida, Inc. and 1 other insurer 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 20 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.
# Kimberly Elaine Fagen, M.D. · NPI 1194795609
Pediatric Radiology physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since January 25, 2006.
## Identity
- **NPI:** 1194795609 (Entity type: Individual)
- **Enumerated:** January 25, 2006
- **Primary specialty:** Radiology - Pediatric Radiology · taxonomy 2085P0229X
- **State license:** D0083915 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 N WOLFE ST, Baltimore, MD 21287-0005
- **Phone:** (410) 955-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Nemours Foundation (NPI 1265585806, Jacksonville, FL); Pediatric Physician Services, Inc. (NPI 1770532798, St Petersburg, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Uniformed Services Uhs Fe Hebert School Of Med, class of 1999
## Record status
- **NPPES last updated:** February 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194795609) · Data from the CMS NPPES public registry.