Active NPI
David Marshall Katz, MD
- Addiction Medicine (Internal Medicine) Physician
- Boca Raton, FL
National Provider Identifier
1255310108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- ME102631
- Practice address
- 6405 Congress Ave Ste 160
Boca Raton, FL 33487-2861 - Phone
- (561) 464-5500
- Fax
- (561) 464-5501
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD 039970 E | PA | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | ME102631 | FL | Primary |
Addresses
Primary practice location
6405 Congress Ave Ste 160
Boca Raton, FL 33487-2861
Mailing address
5030 Champion Blvd Ste G11-535
Boca Raton, FL 33496-2473
Phone (615) 464-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015809000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 039970 E | PA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medication Assisted Recovery Institute, LLC | Current | Accepting new patients |
Locations
5030 Champion Blvd
Ste G11
Boca Raton, FL 33496
5030 Champion Blvd
Ste G11535
Boca Raton, FL 33496
2900 N Military Trl
Ste 241
Boca Raton, FL 33431
Phone (561) 464-4949
Organizations & group practices 1
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.
-
- Addiction Medicine (Preventive Medicine) Physician
- Boca Raton, FL
- NPI 1154967891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1255310108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5030 CHAMPION BLVD STE G11-535",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334962473",
"telephone_number": "615-464-5500",
"fax_number": "614-645-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 CONGRESS AVE STE 160",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872861",
"telephone_number": "561-464-5500",
"fax_number": "561-464-5501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "DAVID",
"middle_name": "MARSHALL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2021-04-29",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "MD 039970 E",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "FL",
"license": "ME102631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015809000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.