KAREN M DONALDSON MD
NPI 1578569786
Family Medicine in Baltimore, MD
About Karen M Donaldson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN M DONALDSON MD (NPI 1578569786) is an individual family medicine provider in Baltimore, Maryland, licensed in Maryland (D61677) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Karen M Donaldson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Karen Donaldson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21202
- Reassigned Medicare billing, Maryland enrollment
- 3 clinicians in this Medicare group
Baltimore, MD 21210
- Reassigned Medicare billing, Maryland enrollment
- 7 clinicians in this Medicare group
Baltimore, MD 21210
- Reassigned Medicare billing, Maryland enrollment
- 16 clinicians in this Medicare group
Baltimore, MD 21210
- Reassigned Medicare billing, Maryland enrollment
- 7 clinicians in this Medicare group
Baltimore, MD 21212
- Reassigned Medicare billing, Maryland enrollment
- 289 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21213
BALTIMORE, MD 21213
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 Karen Donaldson's NPI number?
The NPI number for Karen Donaldson is 1578569786. It was assigned to this individual provider in the NPPES registry on June 22, 2005.
Where is Karen Donaldson located?
Karen Donaldson practices at 3120 Erdman Ave, Baltimore, MD 21213. The listed phone number is (410) 558-4800.
What is Karen Donaldson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Karen Donaldson enrolled in Medicare?
Yes. Karen Donaldson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Karen Donaldson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Donaldson reassigns Medicare benefits to 5 organizations: Health Alliance Associates, Inc. (Baltimore, MD), Ideal Wellness LLC (Baltimore, MD), Whole Body Healthcare, LLC (Baltimore, MD), Living Wellness Medical Center (Baltimore, MD) and Medstar Urgent Care LLC (Baltimore, MD). 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 Karen Donaldson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Karen Donaldson was last updated on July 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Karen M Donaldson, MD · NPI 1578569786
Family Medicine physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since June 22, 2005.
## Identity
- **NPI:** 1578569786 (Entity type: Individual)
- **Enumerated:** June 22, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** D61677 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 3120 ERDMAN AVE, Baltimore, MD 21213-1720
- **Phone:** (410) 558-4800 · **Fax:** (410) 675-8947
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Health Alliance Associates, Inc. (NPI 1437549466, Baltimore, MD); Ideal Wellness LLC (NPI 1477365849, Baltimore, MD); Whole Body Healthcare, LLC (NPI 1740729482, Baltimore, MD); Living Wellness Medical Center (NPI 1518354133, Baltimore, MD); Medstar Urgent Care LLC (NPI 1942623319, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** July 24, 2012
- **Other identifiers:** Medicare UPIN I09343; Medicare ID-Type Unspecified S732-J042
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Source: [NPI Profile](https://npiprofile.com/npi/1578569786) · Data from the CMS NPPES public registry.