Active NPI
Mitchell H. Katz, MD
- Internal Medicine Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G61707
- Practice address
- 995 Potrero Ave BLDG.80 WD 86
SFGH AIDS - PHP Clinic
San Francisco, CA 94110 - Phone
- (415) 206-2400
- Fax
- (415) 554-2888
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G61707 | CA | Primary |
Addresses
Primary practice location
995 Potrero Ave BLDG.80 WD 86
SFGH AIDS - PHP Clinic
San Francisco, CA 94110
Mailing address
995 Potrero Ave BLDG.80 WD 86
SFGH AIDS - PHP Clinic
San Francisco, CA 94110
Phone (415) 206-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047282 | Other | SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080702000335 | CA | Practitioner - Internal Medicine | 6002988342 | Reassigns benefits to 1 organization |
| I20210408000829 | NY | Practitioner - Internal Medicine | 6002988342 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Harvard Medical School, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New York City Health and Hospitals Corporation
Practice addresses (Care Compare)
227 Madison St
New York, NY 10002-7537
Phone (212) 238-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G61707 | CA | MD | Internal Medicine Physician |
Practice roles (7 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Internal Medicine | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Internal Medicine | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| New York City Health and Hospitals Corporation | Internal Medicine | Past | Accepting new patients |
Locations
1000 S Fremont Ave
Unit 9
Alhambra, CA 91803
245 S Fetterly Ave
Los Angeles, CA 90022
Phone (323) 362-1010
1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501
227 Madison St
New York, NY 10002
Phone (212) 238-7000
227 Madison St
Ste 1166
New York, NY 10002
Phone (212) 238-7815
50 Water St
Fl 3
New York, NY 10004
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- mkatz694176@nychhc.direct-ci.com
Ownership & related parties
All facility ownership & control disclosures 58
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Harlem Hospital Center | Hospital | Corporate Director | Jan 8, 2018 |
| South Brooklyn Health | Hospital | Corporate Director | Jan 8, 2018 |
| Queens Hospital Center | Hospital | Corporate Director | Jan 8, 2018 |
| Henry J Carter Specialty Hospital | Hospital | Corporate Director | Jan 8, 2018 |
| Queens Hospital Center | Hospital | Corporate Director | Jan 8, 2018 |
| Elmhurst Hospital Center | Hospital | Corporate Director | Jan 8, 2018 |
| Kings County Hospital Center | Hospital | Corporate Director | Jan 8, 2018 |
| Metropolitan Hospital Center | Hospital | Corporate Director | Jan 8, 2018 |
| Jacobi Medical Center | Hospital | Corporate Director | Jan 8, 2018 |
| Jacobi Medical Center | Hospital | Corporate Director | Jan 8, 2018 |
| Jacobi Medical Center | Hospital | Corporate Director | Jan 8, 2018 |
| Lincoln Medical & Mental Health Center | Hospital | Corporate Director | Jan 8, 2018 |
| Bellevue Hospital Center | Hospital | Corporate Director | Jan 8, 2018 |
| Bellevue Hospital Center | Hospital | Corporate Director | Jan 8, 2018 |
| Bellevue Hospital Center | Hospital | Corporate Officer Operational/Managerial Control |
Jan 8, 2018 Jan 8, 2018 |
| Woodhull Medical & Mental Heath Center | Hospital | Corporate Director | Jan 8, 2019 |
| Elmhurst Hospital Center | Hospital | Corporate Director | Jan 8, 2018 |
| Elmhurst Hospital Center | Hospital | Corporate Director | Jan 8, 2018 |
| Kings County Hospital Center | Hospital | Corporate Director | Jan 8, 2018 |
| Kings County Hospital Center | Hospital | Corporate Director | Jan 8, 2018 |
| Metropolitan Hospital Center | Hospital | Corporate Director | Jan 8, 2018 |
| Metropolitan Hospital Center | Hospital | Corporate Director | Jan 8, 2018 |
| Lincoln Medical and Mental Health Center | Hospital | Corporate Director | Jan 8, 2018 |
| Woodhull Medical & Mental Health Center | Hospital | Corporate Director | Jan 8, 2018 |
| South Brooklyn Health | Hospital | Corporate Director | Jan 8, 2018 |
| Harlem Hospital Center | Hospital | Corporate Director | Jan 8, 2018 |
| Dr. Susan Smith McKinney Nursing and Rehabilitation Center | Skilled nursing facility | Corporate Director | Jan 8, 2018 |
| Sea View Hospital, Rehabilitation Center and Home | Skilled nursing facility | Corporate Director | Jan 8, 2018 |
| Henry J Carter Skilled Nursing Facility | Skilled nursing facility | Corporate Director | Jan 8, 2018 |
| New Gouverneur Hospital SNF | Skilled nursing facility | Corporate Director | Jan 8, 2018 |
| Coler Rehabilitation and Nursing Care Center | Skilled nursing facility | Corporate Director | Jan 8, 2018 |
| HHC Health and Home Care | Home health agency | Corporate Director | Jan 8, 2018 |
| Morrisania Diagnostic & Treatment Center | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| Segundo Ruiz Belvis D & T Center | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| East Ny Diagnostic & Treatment Center | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| Cumberland Diagnostic & Treatment Center | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| Gouverneur Diagnostic & Treatment Center | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| Renaissance Health Care Network | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| Crown Heights | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| Roberto Clemente Family Guidance Center | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| La Clinica de Las Americas | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| Williamsburg Community Health Center | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| Health Center at Gunhill | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| Greenpoint Community Health Center | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| Bedford Health Clinic | Federally qualified health center | Operational/Managerial Control | Jan 8, 2018 |
| Springfield Community Health Center | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| Ridgewood Communicare Center | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| Vanderbilt Avenue Health Center | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| South Queens Community Center | Federally qualified health center | Operational/Managerial Control | Jan 8, 2018 |
| Parsons Community Health Center | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| Woodside Houses Child Health Center | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| Corona District Health Center | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| Women'S Medical Center at Corona | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| Roosevelt Community Health Center of Excellence | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| Broadway Community Health Center of Excellence | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| Tremont Community Health Center of Excellence | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| Bushwick Communicare Center | Federally qualified health center | Corporate Director | Jan 8, 2018 |
| Jonathan Williams Houses Child HC | Federally qualified health center | Corporate Director | Jan 8, 2018 |
Owned or controlled facilities with NPI records 27
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Clinic/Center
- Bronx, NY
- NPI 1003824608
Corporate Director
-
- General Acute Care Hospital
- New York, NY
- NPI 1013924372
Corporate Director
-
- General Acute Care Hospital
- New York, NY
- NPI 1033124961
Corporate Director
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1043224355
Corporate Director
-
- General Acute Care Hospital
- Elmhurst, NY
- NPI 1063426377
Corporate Director
-
- Clinic/Center
- Brooklyn, NY
- NPI 1063577831
Corporate Director
-
- General Acute Care Hospital
- New York, NY
- NPI 1073535027
Corporate Director, Corporate Officer, Operational/Managerial Control
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1124032982
Corporate Director
-
- Clinic/Center
- Bronx, NY
- NPI 1134137375
Corporate Director
-
- Skilled Nursing Facility
- Brooklyn, NY
- NPI 1184632945
Corporate Director
-
- Clinic/Center
- Jackson Heights, NY
- NPI 1225765621
Corporate Director
-
- Clinic/Center
- New York, NY
- NPI 1235147497
Corporate Director
Organizations & group practices 22
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.
-
- Clinic/Center
- New York, NY
- NPI 1548208127
Internal Medicine, NY
-
- Clinic/Center
- Brooklyn, NY
- NPI 1356406136
Internal Medicine
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
Internal Medicine
-
- General Acute Care Hospital
- New York, NY
- NPI 1033124961
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1043224355
-
- General Acute Care Hospital
- Elmhurst, NY
- NPI 1063426377
-
- General Acute Care Hospital
- New York, NY
- NPI 1073535027
-
- Land Ambulance
- Brooklyn, NY
- NPI 1083715460
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1124032982
-
- Skilled Nursing Facility
- Brooklyn, NY
- NPI 1184632945
-
- Skilled Nursing Facility
- Staten Island, NY
- NPI 1285642512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205959533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 POTRERO AVE BLDG.80 WD 86",
"address_2": "SFGH AIDS - PHP CLINIC",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94110",
"telephone_number": "415-206-2400",
"fax_number": "415-554-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 POTRERO AVE BLDG.80 WD 86",
"address_2": "SFGH AIDS - PHP CLINIC",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94110",
"telephone_number": "415-206-2400",
"fax_number": "415-554-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "MITCHELL",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G61707",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER",
"identifier": "047282",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.