Active NPI
Leslie J Katz, M.D.
- Ophthalmology Physician
- Philadelphia, PA
National Provider Identifier
1306887542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD030697E
- Practice address
- 840 Walnut St
Suite 1110
Philadelphia, PA 19107-5109 - Phone
- (215) 928-3197
- Fax
- (215) 928-0166
- NPI assigned
- Jun 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD030697E | PA | Primary |
Addresses
Primary practice location
840 Walnut St
Suite 1110
Philadelphia, PA 19107-5109
Mailing address
840 Walnut St
Suite 1110
Philadelphia, PA 19107-5109
Phone (215) 928-3197
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3651908 | Other | NJ | MEDICAID |
| 0011495850002 | Medicaid | PA | |
| 0081307000 | Other | PA | KEYSTONE EAST |
| 1007523 | Other | PA | KEYSTONE MERCY |
| 2370351 | Other | NJ | AETNA NJ |
| 1859536013 | Other | PA | CIGNA |
| 99388 | Other | PA | AETNA HMO |
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 |
|---|---|---|---|
| MD030697E | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annesley Flanagan Fischer Stefanyszyn and Associates | Ophthalmology | Past | Accepting new patients |
| Edmonds & Associates LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EDBFBA
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.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Wynnewood, PA
- NPI 1396731501
Ophthalmology
-
- Optometrist
- Drexel Hill, PA
- NPI 1285931709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1306887542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 WALNUT ST",
"address_2": "SUITE 1110",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075109",
"telephone_number": "215-928-3197",
"fax_number": "215-928-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 WALNUT ST",
"address_2": "SUITE 1110",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075109",
"telephone_number": "215-928-3197",
"fax_number": "215-928-0166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "LESLIE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD030697E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "3651908",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011495850002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE EAST",
"identifier": "0081307000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1007523",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NJ",
"identifier": "2370351",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1859536013",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "99388",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.