Active NPI
Mitchel G Katz, MD
- General Practice Physician
- Rocky Hill, CT
National Provider Identifier
1245242601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 028721
- Practice address
- 1086 Elm St
Suite 101a
Rocky Hill, CT 06067 - Phone
- (860) 757-3352
- Fax
- (860) 757-3704
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 028721 | CT | |
| General Practice Physician | 208D00000X | 028721 | CT | Primary |
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | 70050328 | WA |
Addresses
Primary practice location
1086 Elm St
Suite 101a
Rocky Hill, CT 06067
Mailing address
1086 Elm St
Suite 101a
Rocky Hill, CT 06067
Phone (860) 757-3352
Other practice location 1
1940 116th Ave NE Ste 200B
Bellevue, WA 98004-3097
Phone (425) 276-1825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70050328 | WA | MD | Behavioral Neurology & Neuropsychiatry Physician |
| 028721 | CT | MD | General Practice Physician |
| 028721 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Physicians PC | Past | Accepting new patients | |
| Ascend Autism OT & SLP Services PLLC | Past | Accepting new patients |
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.
-
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- NPI 1043019680
-
- Diagnostic Radiology Physician
- Farmington, CT
- NPI 1912175639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763769600000",
"number": "1245242601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1086 ELM ST",
"address_2": "SUITE 101A",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "06067",
"telephone_number": "860-757-3352",
"fax_number": "860-757-3704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 ELM ST",
"address_2": "SUITE 101A",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "06067",
"telephone_number": "860-757-3352",
"fax_number": "860-757-3704"
}
],
"practiceLocations": [
{
"address_1": "1940 116th Ave NE Ste 200B",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980043097",
"country_code": "US",
"telephone_number": "425-276-1825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KATZ",
"first_name": "MITCHEL",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2025-11-22",
"certification_date": "2025-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "028721",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CT",
"license": "028721",
"primary": true
},
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "WA",
"license": "70050328",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Hill, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.