Active NPI
Jeffrey Stuart Katz, M.D.
- Ophthalmology Physician
- Southfield, MI
National Provider Identifier
1104828029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301033864
- Practice address
- 26615 Greenfield Rd
Southfield, MI 48076-7208 - Phone
- (248) 557-1070
- Fax
- (248) 557-4984
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301033864 | MI | Primary |
Addresses
Primary practice location
26615 Greenfield Rd
Southfield, MI 48076-7208
Mailing address
26615 Greenfield Rd
Southfield, MI 48076-7208
Phone (248) 557-1070
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1260194 | Medicaid | MI | |
| 1806388112 | Other | MI | BLUE CARE NETWORK |
| 1806388112 | Other | MI | BLUE CROSS BLUE SHEILD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bianca Kizy MD PLLC | Ophthalmology | Current | Accepting new patients |
| William Beaumont Hospital | Past | Accepting new patients | |
| John a. Vollmer, MD, PC | Past | Accepting new patients |
Locations
30301 Woodward Ave
Ste 101
Royal Oak, MI 48073
Phone (248) 398-2525
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Royal Oak, MI
- NPI 1881494201
-
- Family Medicine Physician
- Roseville, MI
- NPI 1790965838
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1104828029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26615 GREENFIELD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480767208",
"telephone_number": "248-557-1070",
"fax_number": "248-557-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26615 GREENFIELD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480767208",
"telephone_number": "248-557-1070",
"fax_number": "248-557-4984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "JEFFREY",
"middle_name": "STUART",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301033864",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1260194",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "1806388112",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "1806388112",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.