Individual provider Active NPI

Gary R Katz, D.O.

  • Surgery Physician
  • Madison HTS, MI
National Provider Identifier
1255329355
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101011790 Issued in MI
Practice address
27483 Dequindre Rd
Suite 301
Madison HTS, MI 48071-3491
Phone
(248) 546-2600
Fax
(248) 546-2604
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101011790 MI Primary

Addresses

Primary practice location

27483 Dequindre Rd
Suite 301
Madison HTS, MI 48071-3491

Mailing address

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334-3292
Phone (248) 681-8282

Other identifiers 1

IdentifierTypeStateIssuer
1255329355MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040322001418 MI Practitioner - General Surgery 0244121036 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care Surgeons PCGroup PAC ID 6002956265, 15 clinicians
Henry Ford Health Macomb Oakland HospitalGroup PAC ID 7315859725, 155 clinicians
Henry Ford Health Providence HospitalGroup PAC ID 6103738703, 364 clinicians
Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians

Practice addresses (Care Compare)

Southfield, MI 48075
Phone (248) 849-3000

11800 E 12 Mile Rd
Ascension Macomb Oakland Hospital
Warren, MI 48093-3472
Phone (586) 573-5000

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000

22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000

27483 Dequindre Rd
Suite 301
Madison Heights, MI 48071-5715
Phone (248) 546-2600

47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4100

Hospital & facility affiliations

  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux37
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Mar 1, 2015 Accepting new patients
Henry Ford Health Providence Hospital Surgery CurrentSince Mar 1, 2010 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Mar 1, 2010 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Surgery CurrentSince Jul 1, 2007 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Jul 1, 2007 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Mar 1, 2015 Accepting new patients
Critical Care Surgeons PLLC CurrentSince Dec 28, 2013 Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients
Infinity Medical Group, PLLC Past Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients
Premier Health and Wellness Center Past Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

1225 S Latson Rd
Ste 380
Howell, MI 48843
Phone (248) 465-5140

27483 Dequindre Rd
Ste 301
Madison Hts, MI 48071
Phone (248) 543-4000

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

47601 Grand River Ave
Ste 136
Novi, MI 48374

28455 Haggerty Rd
Ste 203
Novi, MI 48377
Phone (248) 324-4444

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

27650 Dequindre Rd
Ste 3100
Warren, MI 48092
Phone (248) 546-2600

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1255329355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29992 NORTHWESTERN HWY",
            "address_2": "STE C",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343292",
            "telephone_number": "248-681-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27483 DEQUINDRE RD",
            "address_2": "SUITE 301",
            "city": "MADISON HTS",
            "state": "MI",
            "postal_code": "480713491",
            "telephone_number": "248-546-2600",
            "fax_number": "248-546-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "GARY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101011790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255329355",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison HTS, MI

Sources for this page

Verify at the official NPI Registry.