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KATHRINE M BALDWIN DO
NPI 1225598121
Pediatrics - Pediatric Pulmonology in Charlottesville, VA

Active since March 25, 2019PECOS Enrolled
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903(434) 924-1906 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 13, 2025, Apr 27, 2022 (2 updates tracked since 2022).

About Kathrine M Baldwin Do NPPES

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

KATHRINE M BALDWIN DO (NPI 1225598121) is an individual pediatric pulmonology provider in Charlottesville, Virginia, licensed in Virginia (0102209210) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225598121
Entity TypeIndividualFemale
Primary Taxonomy2080P0214X
Provider Legal NameKATHRINE M BALDWINCredential: DO
Location Address1204 W MAIN STCharlottesville, VA 22903-2824
Mailing AddressPo Box 749112Atlanta, GA 30374-9112 · (434) 295-1000
Phone(434) 924-1906
Sole ProprietorNo
Enumeration DateMarch 25, 2019
Last NPPES UpdateAugust 27, 20252 updates tracked since enumeration
NPPES CertifiedAugust 27, 2025
✔ NPI 1225598121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in VA · 0102209210
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Also ListedPediatricsTaxonomy 208000000X · License 0102209210 (VA)
Also ListedPediatrics · Pediatric Allergy/ImmunologyTaxonomy 2080P0201X · License 0102209210 (VA)
1204 W MAIN ST, Charlottesville, VA 22903
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1100 Woods RdValhalla, NY 10595-1530 · Phone (914) 493-7000
Location 21215 Lee StCharlottesville, VA 22908-0816 · Phone (434) 243-5896

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathrine M Baldwin Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kathrine Baldwin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Virginia Physicians Group
1.1 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000
Bon Secours Medical Group Richmond Specialty Care LLC
64 mi
Cardiovascular Disease
8580 MAGELLAN PKWY
Richmond, VA 23227
  • Reassigned Medicare billing, Virginia enrollment
  • 581 clinicians in this Medicare group
NPI 1477112225 (804) 627-5573

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

HEATHER STEVENS SPADER MD
Neurological Surgery
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-5749
DR. ASMA SHAHID HABIB M.D.
Pediatrics (Pediatric Cardiology)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-9119
JENNIFER MOORE ANDREWS D.O.
Pediatrics
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-0123
WILLIAM G. WILSON M.D.
Medical Genetics (Clinical Genetics (M.D.))
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-0123
CHRISTIAN A. CHISHOLM MD
Obstetrics & Gynecology
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-2500
LINDA A. WAGGONER FOUNTAIN MD
Pediatrics (Pediatric Infectious Diseases)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-0123
ANNE C BUTZ LCSW
Social Worker (Clinical)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-5321
KEITH R. BACHMANN M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-2301

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 Kathrine Baldwin's NPI number?

The NPI number for Kathrine Baldwin is 1225598121. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Kathrine Baldwin located?

Kathrine Baldwin practices at 1204 W Main St, Charlottesville, VA 22903. The listed phone number is (434) 924-1906.

What is Kathrine Baldwin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Kathrine Baldwin enrolled in Medicare?

Yes. Kathrine Baldwin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kathrine Baldwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathrine Baldwin reassigns Medicare benefits to 2 organizations: University Of Virginia Physicians Group (Charlottesville, VA) and Bon Secours Medical Group Richmond Specialty Care LLC (Richmond, VA). 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 Kathrine Baldwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathrine Baldwin accept?

Health plans from Oscar Health list Kathrine Baldwin 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.

When was this NPI record last updated?

The NPPES record for Kathrine Baldwin was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.