Individual provider Active NPI

Katharine Casey Metz, PA-C

  • Physician Assistant
  • South Salem, NY
National Provider Identifier
1225723364
Registry record updated May 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
11 Deer Run Rd
South Salem, NY 10590-2105
Phone
(914) 588-0678
NPI assigned
Apr 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

11 Deer Run Rd
South Salem, NY 10590-2105

Mailing address

11 Deer Run Rd
South Salem, NY 10590-2105
Phone (914) 588-0678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230809001567 NY Practitioner - Physician Assistant 1254793151 Reassigns benefits to 2 organizations
I20260108001930 CT Practitioner - Physician Assistant 1254793151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

Practice addresses (Care Compare)

1011 High Ridge Rd
Suite 101
Stamford, CT 06905-1604
Phone (475) 477-2330

1240 Ulster Ave
Kingston, NY 12401-1517
Phone (845) 585-1270

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
030156NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Lij, Urgent Care, P.C. CurrentSince Jan 1, 2026 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jul 11, 2023 Accepting new patients

Locations

3 Sugar Hollow Rd
Danbury, CT 06810
Phone (475) 348-3782

1011 High Ridge Rd
Ste 101
Stamford, CT 06905
Phone (475) 477-2330

703 Route 9
Ste 3
Fishkill, NY 12524
Phone (845) 202-5044

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

1240 Ulster Ave
Kingston, NY 12401
Phone (845) 443-8720

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

300 Community Dr
Plandome, NY 11030

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: kmetz26408@northwell.direct-ci.com

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.

Hospital & facility affiliations 2

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": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685145600000",
    "number": "1225723364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DEER RUN RD",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105902105",
            "telephone_number": "914-588-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 DEER RUN RD",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105902105",
            "telephone_number": "914-588-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZ",
        "first_name": "KATHARINE",
        "middle_name": "CASEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-05-27",
        "certification_date": "2023-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Salem, NY

Sources for this page

Verify at the official NPI Registry.