Active NPI
Gary M Katzman, MD
- Cardiovascular Disease Physician
- Providence, RI
National Provider Identifier
1003839218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD10572
- Practice address
- 208 Collyer Street
Suite 100
Providence, RI 02904 - Phone
- (401) 793-7191
- Fax
- (401) 793-7200
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD10572 | RI | Primary |
| Interventional Cardiology Physician | 207RI0011X | MD10572 | RI |
Addresses
Primary practice location
208 Collyer Street
Suite 100
Providence, RI 02904
Mailing address
208 Collyer Street
Suite 100
Providence, RI 02904
Phone (401) 793-7191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7009014 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Wayne State University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1212 E Sherman Blvd
Muskegon, MI 49444-1879
Phone (231) 672-3500
Hospital & facility affiliations
- Trinity Health Muskegon Hospital
- Mercy Health Lakeshore Campus
- Trinity Health Grand Haven Hospital
- Spectrum Health
- Corewell Health Ludington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Westshore Cardiology Services | Cardiovascular Disease | Current | Accepting new patients |
| Miriam Cardiology, Inc. | Cardiovascular Disease | Past | Accepting new patients |
Locations
1212 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3500
1223 Mercy Dr
Muskegon, MI 49444
Phone (231) 672-3177
Networks
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- OH PPO
- IL HMO C-SNP
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
Interoperability endpoints
- gkatzman194177@direct.trinity-health.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Muskegon, MI
- NPI 1336573393
-
- Cardiovascular Disease Physician
- Providence, RI
- NPI 1477615995
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ludington, MI
- NPI 1972589489
-
- Critical Access Hospital
- Shelby, MI
- NPI 1285662981
-
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
-
- General Acute Care Hospital
- Grand Haven, MI
- NPI 1942379284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289520000000",
"number": "1003839218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 COLLYER STREET",
"address_2": "SUITE 100",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02904",
"telephone_number": "401-793-7191",
"fax_number": "401-793-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 COLLYER STREET",
"address_2": "SUITE 100",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02904",
"telephone_number": "401-793-7191",
"fax_number": "401-793-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZMAN",
"first_name": "GARY",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2010-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "RI",
"license": "MD10572",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "RI",
"license": "MD10572",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7009014",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.