NPIMap

Individual provider Active NPI

Atul Katyal, MD

  • Nephrology Physician
  • White Plains, MD
National Provider Identifier
1245270735
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0061652 Issued in MD
Practice address
4475 Regency PL
Suite 201
White Plains, MD 20695-3072
Phone
(301) 638-7802
Fax
(301) 638-7805
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D0061652 MD Primary

Addresses

Primary practice location

4475 Regency PL
Suite 201
White Plains, MD 20695-3072

Mailing address

4475 Regency PL
Suite 201
White Plains, MD 20695-3072
Phone (301) 638-7802

Other identifiers 1

IdentifierTypeStateIssuer
408907301MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050726000509 DC Practitioner - Nephrology 7416984919 Reassigns benefits to 1 organization
I20050825000927 MD Practitioner - NephrologyPractitioner - Internal Medicine 7416984919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Medical Associates IncGroup PAC ID 4284636424, 7 clinicians

Practice addresses (Care Compare)

4475 Regency PL
Suite 201
White Plains, MD 20695-3074
Phone (301) 638-7802

9015 Woodyard Rd
Suite 209
Clinton, MD 20735-4209
Phone (301) 638-7802

Hospital & facility affiliations

  • DaVita Brandywine Dialysis Dialysis facility, Brandywine, MD, CCN 212698
  • DaVita Lakeside Dialysis Dialysis facility, Clinton, MD, CCN 212564
  • University of MD Charles Regional Medical Center Hospital, La Plata, MD, CCN 210035
  • Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062
  • Adventist Healthcare Fort Washington Medical Ctr Hospital, Fort Washington, MD, CCN 210060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0061652MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: atul.katyal@direct.davitaphysiciansolutions.com
  • Direct secure messaging: akatyal548026@direct.umm.edu

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.

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1245270735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 REGENCY PL",
            "address_2": "SUITE 201",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953072",
            "telephone_number": "301-638-7802",
            "fax_number": "301-638-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 REGENCY PL",
            "address_2": "SUITE 201",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953072",
            "telephone_number": "301-638-7802",
            "fax_number": "301-638-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATYAL",
        "first_name": "ATUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0061652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408907301",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

Verify at the official NPI Registry.