Individual provider Active NPI

Gary Tatz, MD

  • Pediatric Critical Care Medicine Physician
  • Valhalla, NY
National Provider Identifier
1386645125
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
220542 Issued in NY
Practice address
95 Grasslands Rd
Valhalla, NY 10595-1646
Phone
(914) 493-7513
Fax
(914) 493-1281
NPI assigned
Aug 2, 2005
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 14251653-1205 UT
Pediatric Critical Care Medicine Physician 2080P0203X 220542 NY Primary
Hospitalist Physician 208M00000X 14251653-1205 UT

Addresses

Primary practice location

95 Grasslands Rd
Valhalla, NY 10595-1646

Mailing address

95 Grasslands Rd
Valhalla, NY 10595-1533
Phone (914) 493-7513

Other identifiers 2

IdentifierTypeStateIssuer
02206031MedicaidNY
003138329MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050531000721 NY Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 4183666126 Reassigns benefits to 3 organizations
I20140822002138 MN Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 4183666126 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14251653-1205UTMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of University Hospital, PC CurrentSince Mar 23, 2019 Accepting new patients
Centracare Clinic CurrentSince Aug 1, 2015 Accepting new patients
North Shore-Lij Medical PC Hospitalist CurrentSince Mar 23, 2019 Accepting new patients
Centracare Clinic CurrentSince Aug 1, 2015 Accepting new patients
Physicians of University Hospital, PC CurrentSince Mar 23, 2019 Accepting new patients
Westchester County Health Care Corporation Past Accepting new patients

Locations

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

300 Community Dr
Manhasset, NY 11030

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

100 Woods Rd
#O
Valhalla, NY 10595

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice of WestchesterWhite Plains, NY, CCN 331520 Hospice W-2 Managing Employee (100%) Aug 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1386645125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 GRASSLANDS RD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951533",
            "telephone_number": "914-493-7513",
            "fax_number": "914-493-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 GRASSLANDS RD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951646",
            "telephone_number": "914-493-7513",
            "fax_number": "914-493-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATZ",
        "first_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "UT",
            "license": "14251653-1205",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NY",
            "license": "220542",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "UT",
            "license": "14251653-1205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02206031",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003138329",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.