Individual provider Active NPI

Neal Jay Katz, D.P.M.

  • Foot Surgery Podiatrist
  • Madison, WI
National Provider Identifier
1104878750
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
424-025 Issued in WI
Practice address
664 W Washington Ave
Madison, WI 53703-2638
Phone
(608) 241-0848
Fax
(608) 767-2015
NPI assigned
May 16, 2006
Last updated
Oct 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 424-025 WI Primary

Addresses

Primary practice location

664 W Washington Ave
Madison, WI 53703-2638

Mailing address

4033 County Road JJ
Black Earth, WI 53515-9729
Phone (608) 225-1529

Other identifiers 3

IdentifierTypeStateIssuer
406075OtherWIDEAN HEALTH PLAN
43204200MedicaidWI
3886620001OtherWIMEDICARE DMEPOS

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

State licenses

LicenseStateTypeSpecialty
424-025WIMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Advanced Foot & Ankle, LLC PastSince Jan 1, 2022 Accepting new patients
Neal J Katz DPM PastSince Oct 18, 2000 Accepting new patients
The Psychology Center S C Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1104878750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 COUNTY ROAD JJ",
            "city": "BLACK EARTH",
            "state": "WI",
            "postal_code": "535159729",
            "telephone_number": "608-225-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 W WASHINGTON AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032638",
            "telephone_number": "608-241-0848",
            "fax_number": "608-767-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "NEAL",
        "middle_name": "JAY",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WI",
            "license": "424-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH PLAN",
            "identifier": "406075",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43204200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMEPOS",
            "identifier": "3886620001",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.