Active NPI
Katalyst Healthcare Corporation
Doing business as Katalyst Healthcare Group
- Health Service Clinic/Center
- Fairfax, VA
National Provider Identifier
1083371454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- KATALYST HEALTHCARE CORPORATION
- Doing business as
- Katalyst Healthcare Group
- Practice address
- 11350 Random Hills Rd Ste 800
Fairfax, VA 22030-6044 - Phone
- (202) 734-1298
- NPI assigned
- Nov 20, 2021
- Last updated
- Nov 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marc Nelson, MD, MD
- Title
- Coo/Cmo
- Phone
- (703) 982-6988
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary | ||
| Research Clinic/Center | 261QR1100X |
Addresses
Primary practice location
11350 Random Hills Rd Ste 800
Fairfax, VA 22030-6044
Mailing address
9893 Georgetown Pike Ste 143
Great Falls, VA 22066-2617
Phone (703) 263-8399
Other names 1
- KATALYST HEALTHCARE GROUP
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | AURA | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
400 E Pratt St
Ste 800
Baltimore, MD 21202
Phone (410) 412-3964
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1922628593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637884800000",
"number": "1083371454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9893 GEORGETOWN PIKE STE 143",
"city": "GREAT FALLS",
"state": "VA",
"postal_code": "220662617",
"telephone_number": "703-263-8399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11350 RANDOM HILLS RD STE 800",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306044",
"telephone_number": "202-734-1298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATALYST HEALTHCARE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-20",
"last_updated": "2021-11-26",
"certification_date": "2021-11-26",
"status": "A",
"authorized_official_last_name": "NELSON, MD",
"authorized_official_first_name": "MARC",
"authorized_official_title_or_position": "COO/CMO",
"authorized_official_telephone_number": "703-982-6988",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "AURA",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "400 E Pratt St Ste 800",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212023122",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "KATALYST HEALTHCARE GROUP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.