Organization Active NPI

Katalyst Healthcare Corporation

Doing business as Katalyst Healthcare Group

  • Health Service Clinic/Center
  • Fairfax, VA
National Provider Identifier
1083371454
Registry record updated Nov 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2021

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL AURA Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.