Individual provider Active NPI

Paul Alex Katigbak, M.D.

  • Cardiovascular Disease Physician
  • Georgetown, TX
National Provider Identifier
1417390410
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
T1745 Issued in TX
Practice address
1900 Scenic Dr Ste 3308
Georgetown, TX 78626-7876
Phone
(512) 869-2566
Fax
(512) 869-7434
NPI assigned
Apr 10, 2013
Last updated
May 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 11864220-1205 UT
Cardiovascular Disease Physician 207RC0000X T1745 TX Primary
Interventional Cardiology Physician 207RI0011X 11864220-1205 UT

Addresses

Primary practice location

1900 Scenic Dr Ste 3308
Georgetown, TX 78626-7876

Mailing address

900 W 38TH St Ste 400
Austin, TX 78705-1141
Phone (512) 869-2566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, MA, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200908001636 UT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 1850634452 Reassigns benefits to 2 organizations
I20210701003563 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 1850634452 Reassigns benefits to 1 organization
I20210922000192 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 1850634452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Texas Tech University Health Science Center School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians

Practice addresses (Care Compare)

777 N Street 4TH Floor
Cardiology Professional Services of BMC
Pittsfield, MA 01201-4147
Phone (413) 395-7580

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11864220-1205UTMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Oct 5, 2020 Accepting new patients
Ihc Health Services Inc CurrentSince Oct 5, 2020 Accepting new patients
Apex Cardiology of Houston, PLLC Cardiovascular Disease CurrentSince Oct 1, 2021 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Jul 12, 2021 Accepting new patients
Ihc Health Services Inc Internal Medicine Current Accepting new patients
Fairview Hospital CurrentSince Jul 12, 2021 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Nov 26, 2020 Accepting new patients

Locations

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

11914 Astoria Blvd
Ste 410
Houston, TX 77089
Phone (281) 484-8339

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

201 W Layton Pkwy
Layton, UT 84041
Phone (801) 543-6000

4403 Harrison Blvd
Ste 3400
Ogden, UT 84403
Phone (801) 387-3400

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJJABD
  • Direct secure messaging: paulkatigbak@bfs.medalliesdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1417390410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 38TH ST STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051141",
            "telephone_number": "512-869-2566",
            "fax_number": "512-869-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SCENIC DR STE 3308",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267876",
            "telephone_number": "512-869-2566",
            "fax_number": "512-869-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATIGBAK",
        "first_name": "PAUL",
        "middle_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "11864220-1205",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "T1745",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "UT",
            "license": "11864220-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.