Tara Katz, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

05-36048 Issued in KS

Practice address

612 N Andover Rd
Andover, KS 67002-9778

Phone

(316) 733-6618

Fax

(316) 733-5299

NPI assigned

May 17, 2010

Last updated

Jun 10, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Family Practice

Education

Kansas City University of Physicians and Surgeons, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascension Medical Group Via Christi PAGroup PAC ID 2961314497, 184 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension at Home Home health agency, Wichita, KS, CCN 177117
• Phoenix Home Care Home health agency, Wichita, KS, CCN 178012
• Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
• Susan B Allen Memorial Hospital Hospital, El Dorado, KS, CCN 170017
• Ascension Via Christi Rehabilitation Hospital, Inc Inpatient rehabilitation facility, Wichita, KS, CCN 173028

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Ascension Medical Group Via Christi, PA

  • Multi-Specialty Clinic/Center
  • Wichita, KS
  • NPI 1063453991
  Medicare reassignment Care Compare group NPD
• Ascension Medical Group Via Christi, PA

  • Rural Health Clinic/Center
  • Wellington, KS
  • NPI 1538773569
  NPD
• Ascension Medical Group Via Christi, PA

  dba Ascension Via Christi Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Wichita, KS
  • NPI 1073523452
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789
  Care Compare affiliation
• Ascension Via Christi Rehabilitation Hospital, Inc.

  • Rehabilitation Hospital
  • Wichita, KS
  • NPI 1083604789

  Inpatient rehabilitation facility

  Care Compare affiliation
• Proactive Home Care, LLC

  dba Phoenix Home Care

  • Home Health Agency
  • Wichita, KS
  • NPI 1013979905
  Care Compare affiliation
• Susan B. Allen Memorial Hospital

  • General Acute Care Hospital
  • El Dorado, KS
  • NPI 1700994977
  Care Compare affiliation
• Via Christi Home Health Wichita, LLC

  dba Ascension at Home

  • Home Health Agency
  • Wichita, KS
  • NPI 1235132119
  Care Compare affiliation

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1386962215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N ANDOVER RD",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029778",
            "telephone_number": "316-733-6618",
            "fax_number": "316-733-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N ANDOVER RD",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029778",
            "telephone_number": "316-733-6618",
            "fax_number": "316-733-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "TARA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-36048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201072060A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kansas Medical Center LLC
• Kansas Medical Center, LLC (KMC Physicians Part A)
• Kansas Medical Center, LLC (KMC Physicians)
• Kansas Medical Center, LLC (Andover Anesthesia Care Specialists)
• Kansas Medical Center, LLC (Andover Cardiology)
• Brandon Keith Kaub, PHARM.D
• Ryan Kaub, CRNA
• Margot E Kelman, PHD, CCC-SLP
• Irene Chepchumba Keny, NP
• Quiana Lashon Kern, MD

• Family Medicine Physician in Andover, KS
• Providers in Andover, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.