Individual provider Active NPI

Peter Stu Katz, MD

  • Adult Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1205850385
Registry record updated Mar 26, 2015
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Oct 20, 2019.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME37959 Issued in FL
Practice address
3301 W Boynton Beach Blvd
12
Boynton Beach, FL 33436-4642
Phone
(561) 737-8434
Fax
(561) 738-6456
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X ME37959 FL Primary

Addresses

Primary practice location

3301 W Boynton Beach Blvd
12
Boynton Beach, FL 33436-4642

Mailing address

3301 W Boynton Beach Blvd
12
Boynton Beach, FL 33436-4642
Phone (561) 737-8434

Other identifiers 1

IdentifierTypeStateIssuer
278557900MedicaidFL

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1205850385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W BOYNTON BEACH BLVD",
            "address_2": "12",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364642",
            "telephone_number": "561-737-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 W BOYNTON BEACH BLVD",
            "address_2": "12",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364642",
            "telephone_number": "561-737-8434",
            "fax_number": "561-738-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "PETER",
        "middle_name": "STU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME37959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278557900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.