Individual provider Active NPI

Katherine H Baltz, M.D.

  • Ophthalmology Physician
  • Little Rock, AR
National Provider Identifier
1225006497
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
E1608 Issued in AR
Practice address
5300 W. Markham
Little Rock, AR 72205-3528
Phone
(501) 664-5354
Fax
(501) 664-5257
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X E1608 AR Primary

Addresses

Primary practice location

5300 W. Markham
Little Rock, AR 72205-3528

Mailing address

5300 W. Markham
Little Rock, AR 72205-3528
Phone (501) 664-5354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20101122000873 AR Practitioner - Ophthalmology 9931291101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Arkansas College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Arkansas OphthalmologyGroup PAC ID 1850447632, 3 clinicians

Practice addresses (Care Compare)

5300 W Markham St
Little Rock, AR 72205-3528
Phone (501) 664-5354

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery124

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E1608ARMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Arkansas Ophthalmology Ophthalmology CurrentSince Feb 1, 1999 Accepting new patients
Blandford Eyecare & Surgery Ophthalmology Past Accepting new patients
Arkansas Eyewear, Inc. PastSince May 28, 1999 Accepting new patients

Locations

5300 W Markham St
Little Rock, AR 72205
Phone (501) 664-5354

5 Saint Vincent Cir
Ste 101
Little Rock, AR 72205
Phone (501) 664-5354

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1225006497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W. MARKHAM",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053528",
            "telephone_number": "501-664-5354",
            "fax_number": "501-664-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W. MARKHAM",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053528",
            "telephone_number": "501-664-5354",
            "fax_number": "501-664-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTZ",
        "first_name": "KATHERINE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "E1608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.