Individual provider Active NPI

Michael Katz, DPM

  • Podiatrist
  • Hampton Bays, NY
National Provider Identifier
1235221870
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N0057981 Issued in NY
Practice address
23 West Montouk Highway
Hampton Bays, NY 11946-4003
Phone
(631) 728-4040
Fax
(631) 728-4042
NPI assigned
Sep 29, 2006
Last updated
Dec 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N0057981 NY Primary

Addresses

Primary practice location

23 West Montouk Highway
Hampton Bays, NY 11946-4003

Mailing address

23 West Montouk Highway
Hampton Bays, NY 11946-4003
Phone (631) 728-4040

Other identifiers 1

IdentifierTypeStateIssuer
02150296MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040604000277 NY Practitioner - Podiatry 9032191911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Katz, D.P.M., P.C.Group PAC ID 9638151517, 2 clinicians

Practice addresses (Care Compare)

137 04 Guy R Brewer Blvd
Jamaica, NY 11434-3731

13704 Guy R Brewer Blvd
Jamaica, NY 11434-3731
Phone (718) 723-5616

23 W Montauk Hwy
Hampton Bays, NY 11946-4001
Phone (631) 728-4040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions23
Removal of nail tissue1580
Removal or shaving of skin growth990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005798NYMDMental Health Counselor
N0057981NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
South Fork Podiatry PC Podiatrist CurrentSince Dec 19, 2003 Accepting new patients
Michael Katz, D.P.M., P.C. CurrentSince Aug 12, 2003 Accepting new patients
Michael Katz Podiatrist CurrentSince Apr 1, 2002 Accepting new patients
Liberty Footcare,PLLC Past Accepting new patients

Locations

182 W Montauk Hwy
Hampton Bays, NY 11946
Phone (631) 723-1232

182 W Montauk Hwy
Ste G
Hampton Bays, NY 11946
Phone (631) 728-4040

23 W Montauk Hwy
Hampton Bays, NY 11946
Phone (631) 728-4040

1490 Broadway
Hewlett, NY 11557
Phone (516) 569-2900

13704 New York Blvd
Jamaica, NY 11434
Phone (718) 723-5616

Networks

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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1235221870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WEST MONTOUK HIGHWAY",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119464003",
            "telephone_number": "631-728-4040",
            "fax_number": "631-728-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WEST MONTOUK HIGHWAY",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119464003",
            "telephone_number": "631-728-4040",
            "fax_number": "631-728-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0057981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02150296",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton Bays, NY

Sources for this page

Verify at the official NPI Registry.