Individual provider Active NPI

Anthony Katz, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1104865922
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23968 Issued in AZ
Practice address
11209 N Tatum Blvd
Suite 180
Phoenix, AZ 85028-3091
Phone
(602) 494-5155
Fax
(602) 494-5115
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23968 AZ Primary

Addresses

Primary practice location

11209 N Tatum Blvd
Suite 180
Phoenix, AZ 85028-3091

Mailing address

11209 N Tatum Blvd
Suite 180
Phoenix, AZ 85028-3091
Phone (602) 494-5155

Other identifiers 1

IdentifierTypeStateIssuer
381848MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051005000403 AZ Practitioner - Family Practice 8527950922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paradise Valley Family Medicine, PCGroup PAC ID 3375435761, 2 clinicians

Practice addresses (Care Compare)

11209 N Tatum Blvd
Suite 180
Phoenix, AZ 85028-6016
Phone (602) 494-5155

Hospital & facility affiliations

  • Haven Home Health Care Home health agency, Scottsdale, AZ, CCN 037492
  • Scottsdale Healthcare Home Health Home health agency, Scottsdale, AZ, CCN 037024
  • Arizona Home Care Home health agency, Tempe, AZ, CCN 037199
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Merit-based Incentive Payment System (MIPS)

Final score
90.35 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23968AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paradise Valley Family Medicine, PC Family Medicine CurrentSince Jan 1, 2001 Accepting new patients
Desert Valley Radiology, PLC PastSince Jan 1, 2001 Accepting new patients

Locations

11209 N Tatum Blvd
Ste 180
Phoenix, AZ 85028
Phone (602) 494-5155

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCHBA

Organizations & group practices 2

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1104865922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD",
            "address_2": "SUITE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283091",
            "telephone_number": "602-494-5155",
            "fax_number": "602-494-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD",
            "address_2": "SUITE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283091",
            "telephone_number": "602-494-5155",
            "fax_number": "602-494-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "23968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381848",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.