Individual provider Active NPI

Marta Maria Katalenas, M.D.

  • Pediatrics Physician
  • Round Rock, TX
National Provider Identifier
1386741171
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K1495 Issued in TX
Practice address
7700 Cat Hollow Dr
Unit 104
Round Rock, TX 78681-5796
Phone
(512) 733-5437
Fax
(512) 244-1861
NPI assigned
Sep 20, 2006
Last updated
Nov 3, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K1495 TX Primary

Addresses

Primary practice location

7700 Cat Hollow Dr
Unit 104
Round Rock, TX 78681-5796

Mailing address

7700 Cat Hollow Dr
Unit 104
Round Rock, TX 78681-5796
Phone (512) 733-5437

Other identifiers 2

IdentifierTypeStateIssuer
092187601MedicaidTX
092187602MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20201223000047 TX Practitioner - Pediatric Medicine 6103238803 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1495TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children's Medical Group CurrentSince Jan 1, 2021 Accepting new patients
Dell Children's Medical Group Pediatrics Current Accepting new patients
Dell Children's Medical Group Pediatrics CurrentSince Jan 1, 2021 Accepting new patients
Peds Center of Round Rock PA Pediatrics PastSince Sep 8, 2019 Accepting new patients

Locations

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

Interoperability endpoints

  • Direct secure messaging: marta.katalenas.1@8363.direct.athenahealth.com

Organizations & group practices 5

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1386741171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 CAT HOLLOW DR",
            "address_2": "UNIT 104",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815796",
            "telephone_number": "512-733-5437",
            "fax_number": "512-244-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 CAT HOLLOW DR",
            "address_2": "UNIT 104",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815796",
            "telephone_number": "512-733-5437",
            "fax_number": "512-244-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATALENAS",
        "first_name": "MARTA",
        "middle_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K1495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092187601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092187602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.