Individual provider Active NPI

Thomas J Katta, MD

  • Hematology & Oncology Physician
  • Orlando, FL
National Provider Identifier
1205934288
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME039331 Issued in FL
Practice address
922 Lucerne Ter
Orlando, FL 32806-1013
Phone
(407) 426-8660
Fax
(407) 426-6884
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME039331 FL Primary

Addresses

Primary practice location

922 Lucerne Ter
Orlando, FL 32806-1013

Mailing address

922 Lucerne Ter
Orlando, FL 32806-1013
Phone (407) 426-8660

Other identifiers 1

IdentifierTypeStateIssuer
069953500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060213000263 FL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 1153336243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thomas J Katta MD PAGroup PAC ID 0345255436, 4 clinicians

Practice addresses (Care Compare)

922 Lucerne Ter
Orlando, FL 32806-1013
Phone (407) 426-8660

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME039331FLMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas J Katta, MD, PA Hematology & Oncology CurrentSince Jul 1, 1984 Accepting new patients
Southwest Cancer Center PA Hematology & Oncology Past Accepting new patients

Locations

922 Lucerne Ter
Orlando, FL 32806
Phone (407) 426-8660

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 3

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1205934288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 LUCERNE TER",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061013",
            "telephone_number": "407-426-8660",
            "fax_number": "407-426-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 LUCERNE TER",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061013",
            "telephone_number": "407-426-8660",
            "fax_number": "407-426-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTA",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME039331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069953500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.