Individual provider Active NPI

Jon Michael Katz, MD

  • Maternal & Fetal Medicine Physician
  • Summerville, SC
National Provider Identifier
1023022167
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
95917 Issued in SC
Practice address
295A Midland Pkwy Ste 150
Summerville, SC 29485-5902
Phone
(843) 851-3800
Fax
(843) 851-7787
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 95917 SC
Obstetrics & Gynecology Physician 207V00000X MD426592 PA
Maternal & Fetal Medicine Physician 207VM0101X 95917 SC Primary
Maternal & Fetal Medicine Physician 207VM0101X MD426592 PA

Addresses

Primary practice location

295A Midland Pkwy Ste 150
Summerville, SC 29485-5902

Mailing address

295A Midland Pkwy Ste 150
Summerville, SC 29485-5902
Phone (843) 851-3800

Other identifiers 13

IdentifierTypeStateIssuer
0101010MedicaidMD
2137715OtherPAMAMSI-WMG
544507OtherMDCAREFIRST MD BCBS
595175OtherPAHIGHMARK BLUE SHIELD
4271568OtherPAAETNA
0417557000OtherPAAMERIHEALTH 65 PA
167766OtherPAUNISON-WMG
50050088OtherPACAPITAL BLUE CROSS-WMG
1528497OtherPAGATEWAY-WMG
100453OtherPAGEISINGER
20044315OtherPAAMERIHEALTH MERCY-WMG
027812OtherPAJOHNS HOPKINS
101276446MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050628000244 PA Practitioner - Obstetrics/Gynecology 3577508712 Reassigns benefits to 1 organization
I20260406001166 SC Practitioner - Obstetrics/Gynecology 3577508712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina Primary Care LLCGroup PAC ID 3577629088, 24 clinicians

Practice addresses (Care Compare)

295 A Midland Pkwy
Suite 150
Summerville, SC 29485-5902
Phone (843) 851-3800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95917SCMDObstetrics & Gynecology Physician
MD426592PAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital Obstetrics & Gynecology CurrentSince Jun 13, 2022 Accepting new patients
Lancaster General Hospital CurrentSince Jun 13, 2022 Accepting new patients
Sinai Hospital of Baltimore, Inc. Past Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Coastal Carolina Primary Care, LLC Obstetrics & Gynecology PastSince Mar 1, 2026 Accepting new patients

Locations

694 Good Dr
Ste 200
Lancaster, PA 17601
Phone (717) 544-3514

694 Good Dr
Ste 23
Lancaster, PA 17601
Phone (717) 544-0375

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: jkatz224325@direct-lghealth.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1023022167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295A MIDLAND PKWY STE 150",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855902",
            "telephone_number": "843-851-3800",
            "fax_number": "843-851-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295A MIDLAND PKWY STE 150",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855902",
            "telephone_number": "843-851-3800",
            "fax_number": "843-851-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "JON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "95917",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD426592",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "SC",
            "license": "95917",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "PA",
            "license": "MD426592",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101010",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI-WMG",
            "identifier": "2137715",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD BCBS",
            "identifier": "544507",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "595175",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4271568",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH 65 PA",
            "identifier": "0417557000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON-WMG",
            "identifier": "167766",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS-WMG",
            "identifier": "50050088",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY-WMG",
            "identifier": "1528497",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "100453",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY-WMG",
            "identifier": "20044315",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS",
            "identifier": "027812",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101276446",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.