NPIMap

Individual provider Active NPI

Jordan Allen Katz, DPM

  • Podiatrist
  • Coral Gables, FL
National Provider Identifier
1346478583
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4530 Issued in FL
Practice address
475 Biltmore Way Ste 108
Coral Gables, FL 33134-5724
Phone
(305) 442-1780
Fax
(305) 442-9505
NPI assigned
Jun 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006119 PA
Podiatrist 213E00000X PO4530 FL Primary

Addresses

Primary practice location

475 Biltmore Way Ste 108
Coral Gables, FL 33134-5724

Mailing address

8200 NW 27TH St Ste 108
Doral, FL 33122-1902
Phone (305) 442-1780

Other identifiers 2

IdentifierTypeStateIssuer
1346478583OtherPAMEDICARE UPIN
245362A8KOtherPAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 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
I20120823000625 NJ Practitioner - Podiatry 0446407696 Reassigns benefits to 1 organization
I20241016004986 FL Practitioner - Podiatry 0446407696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Foot and Ankle Associates, LLC.Group PAC ID 8628173465, 24 clinicians

Practice addresses (Care Compare)

475 Biltmore Way
Suite 108
Coral Gables, FL 33134-5724
Phone (305) 442-1780

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue13
Removal of skin lesions1-10
Removal of nail tissue556
Removal or shaving of skin growth416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006119PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Foot & Ankle Associates LLC Podiatrist CurrentSince Dec 1, 2024 Accepting new patients
Jeffrey S Katz DPM PA Podiatrist CurrentSince Jul 10, 2012 Accepting new patients
Florida Foot & Ankle Associates, LLC Podiatrist CurrentSince Dec 1, 2024 Accepting new patients

Locations

475 Biltmore Way
Ste 108
Coral Gables, FL 33134
Phone (305) 442-1780

8200 NW 27th St
Ste 108
Doral, FL 33122
Phone (786) 662-3893

92 S State St
Vineland, NJ 08360
Phone (609) 691-1287

Organizations & group practices 17

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 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1346478583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 NW 27TH ST STE 108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221902",
            "telephone_number": "305-442-1780",
            "fax_number": "786-662-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BILTMORE WAY STE 108",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345724",
            "telephone_number": "305-442-1780",
            "fax_number": "305-442-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "JORDAN",
        "middle_name": "ALLEN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006119",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "1346478583",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "245362A8K",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.