Individual provider Active NPI

Daniel Katz, M.D.

  • Vascular Surgery Physician
  • Aurora, IL
National Provider Identifier
1013919737
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
036-093373 Issued in IL
Practice address
2040 Ogden Ave Ste 304
Aurora, IL 60504
Phone
(630) 898-3727
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 036-093373 IL Primary

Addresses

Primary practice location

2040 Ogden Ave Ste 304
Aurora, IL 60504

Mailing address

2040 Ogden Ave Ste 304
Aurora, IL 60504-7205
Phone (630) 898-3727

Other identifiers 1

IdentifierTypeStateIssuer
036-093373-2MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040901000298 IL Practitioner - Vascular SurgeryPractitioner - Thoracic Surgery 0840265930 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Eastern Virginia Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1620 W Harrison St
Chicago, IL 60612-3801

1653 W Congress Pkwy
Chicago, IL 60612-3833

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (312) 942-6800

2040 Ogden Ave
Aurora, IL 60504-7205

Hospital & facility affiliations

  • DMJ Home Health Services, Inc Home health agency, Aurora, IL, CCN 147997
  • Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029
  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)55
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-093373ILMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation CurrentSince Jul 1, 2004 Accepting new patients
Rush University Medical Group CurrentSince Jan 14, 2019 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Rush University Medical Center Vascular Surgery CurrentSince Jan 14, 2019 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Feb 19, 2022 Accepting new patients
Carle Health Care Incorporated CurrentSince Jul 28, 2023 Accepting new patients
Mount Sinai Community Foundation CurrentSince Jul 1, 2004 Accepting new patients
Daniel Katz, M.D., L.L.C. Vascular Surgery PastSince Jun 11, 2004 Accepting new patients

Locations

2040 Ogden Ave
Ste 304
Aurora, IL 60504
Phone (630) 236-4270

1725 W Harrison St
Ste 1156
Chicago, IL 60612
Phone (312) 563-2762

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1501 S California Ave
Chicago, IL 60608
Phone (773) 257-6770

4646 N Marine Dr
Fl 6
Chicago, IL 60640
Phone (773) 564-6150

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

1725 W Harrison St
Ste 115
Chicago, IL 60612
Phone (312) 829-2540

75 Remittance Dr
Dept 1611
Chicago, IL 60675

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Networks

  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Interoperability endpoints

  • Direct secure messaging: dkatzmd376397@carlehiedirect.net
  • Direct secure messaging: dkatz139721@direct.rush.rush-health.com

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1013919737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 OGDEN AVE STE 304",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047205",
            "telephone_number": "630-898-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 OGDEN AVE STE 304",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60504",
            "telephone_number": "630-898-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036-093373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-093373-2",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.