Active NPI
Katharine W Mauer, MD
- Allergy & Immunology Physician
- Troy, MI
National Provider Identifier
1336123793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 4301046375
- Practice address
- 1350 Kirts Blvd
Ste 140
Troy, MI 48084-4851 - Phone
- (248) 269-8529
- Fax
- (248) 269-8566
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 4301046375 | MI | Primary |
Addresses
Primary practice location
1350 Kirts Blvd
Ste 140
Troy, MI 48084-4851
Mailing address
1350 Kirts Blvd
Ste 140
Troy, MI 48084-4851
Phone (248) 269-8529
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2848731 | Medicaid | MI |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asthma and Allergy Specialists, PC | Past | Accepting new patients |
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.
-
- Specialist
- Troy, MI
- NPI 1487713491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1336123793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 KIRTS BLVD",
"address_2": "STE 140",
"city": "TROY",
"state": "MI",
"postal_code": "480844851",
"telephone_number": "248-269-8529",
"fax_number": "248-269-8566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 KIRTS BLVD",
"address_2": "STE 140",
"city": "TROY",
"state": "MI",
"postal_code": "480844851",
"telephone_number": "248-269-8529",
"fax_number": "248-269-8566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUER",
"first_name": "KATHARINE",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MI",
"license": "4301046375",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2848731",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.