Individual provider Active NPI

Olga A. Katz, M.D., PH.D.

  • Neurology Physician
  • Philadelphia, PA
National Provider Identifier
1427050913
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD418729 Issued in PA
Practice address
822 Pine St
Suite C
Philadelphia, PA 19107-6187
Phone
(215) 574-3573
Fax
(215) 574-3645
NPI assigned
Aug 15, 2005
Last updated
Sep 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD418729 PA Primary

Addresses

Primary practice location

822 Pine St
Suite C
Philadelphia, PA 19107-6187

Mailing address

822 Pine St
Suite 1 C
Philadelphia, PA 19107-6187
Phone (215) 574-3573

Other identifiers 4

IdentifierTypeStateIssuer
1385814OtherPAHIGHMARK
2958654OtherAETNA HMO
7548362OtherAETNA PPO
2075815000OtherPAKEYSTONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050727000462 PA Practitioner - Neurology 8426084161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

822 Pine St
Philadelphia, PA 19107-6187
Phone (215) 574-3573

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olga Katz MD PHD LLC Neurology CurrentSince May 24, 2010 Accepting new patients
Advanced Neurology Associates, PC CurrentSince Jun 17, 2008 Accepting new patients
Neurology and Neurophysiology Associates, P.C. Neurology Past Accepting new patients
Neurology and Neurophysiology Associates of NJ, P.C. Neurology Past Accepting new patients

Locations

822 Pine St
Philadelphia, PA 19107
Phone (215) 219-3950

822 Pine St
Ste 1A
Philadelphia, PA 19107
Phone (215) 574-3573

822 Pine St
Ste 1C
Philadelphia, PA 19107
Phone (215) 574-3573

822 Pine St
Ste C
Philadelphia, PA 19107
Phone (215) 574-3573

Interoperability endpoints

  • Direct secure messaging: advancedneurologyassociates.olgakatz@118849.advancedmd-direct.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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1427050913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 PINE ST",
            "address_2": "SUITE 1 C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076187",
            "telephone_number": "215-574-3573",
            "fax_number": "215-574-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 PINE ST",
            "address_2": "SUITE C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076187",
            "telephone_number": "215-574-3573",
            "fax_number": "215-574-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "OLGA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD418729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1385814",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2958654",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7548362",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2075815000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.