Individual provider Active NPI

Burton Joel Katzen, DPM

  • Foot Surgery Podiatrist
  • Temple Hills, MD
National Provider Identifier
1407849607
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
00317 Issued in MD
Practice address
4302 St Barnabas Rd
Temple Hills, MD 20748
Phone
(301) 423-9495
Fax
(301) 423-7960
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 00317 MD Primary

Addresses

Primary practice location

4302 St Barnabas Rd
Temple Hills, MD 20748

Mailing address

10604 Norton Rd
Potomac, MD 20854
Phone (301) 423-9495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061221000339 MD Practitioner - Podiatry 1153321146
I20070105000413 DC Practitioner - Podiatry 1153321146

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00317MDMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hotchkiss and Katzen Ambulatory Surgical Center PastSince May 1, 1997 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407849607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10604 NORTON RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "20854",
            "telephone_number": "301-423-9495",
            "fax_number": "301-423-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ST BARNABAS RD",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "20748",
            "telephone_number": "301-423-9495",
            "fax_number": "301-423-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZEN",
        "first_name": "BURTON",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MD",
            "license": "00317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

Verify at the official NPI Registry.