Individual provider Active NPI

Jonathan Katz, DO

  • Family Medicine Physician
  • Middletown, CT
National Provider Identifier
1467940395
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
071899 Issued in CT
Practice address
520 Saybrook Rd Ste N100
Middletown, CT 06457-4741
Phone
(860) 358-3130
NPI assigned
Apr 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 071899 CT Primary

Addresses

Primary practice location

520 Saybrook Rd Ste N100
Middletown, CT 06457-4741

Mailing address

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20220817002858 CT Practitioner - Family Practice 5294082517 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Middlesex HospitalGroup PAC ID 5092611731, shared by 7 NPIs, 231 clinicians
MHS Primary Care, Inc.Group PAC ID 4082507371, 180 clinicians

Practice addresses (Care Compare)

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-5322

520 Saybrook Rd
N100
Middletown, CT 06457-4700
Phone (860) 358-2850

90 S Main St
Middletown, CT 06457-3649
Phone (860) 358-4821

Hospital & facility affiliations

  • Middlesex Health Care at Home and Hospice Program Home health agency, Middletown, CT, CCN 077086
  • Elara Caring Home health agency, Rocky Hill, CT, CCN 077163
  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071899CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Primary Care Inc Family Medicine CurrentSince Aug 15, 2022 Accepting new patients
Middlesex Hospital Family Medicine CurrentSince Sep 6, 2022 Accepting new patients
Middlesex Hospital Family Medicine CurrentSince Sep 6, 2022 Accepting new patients
Middlesex Hospital Current Accepting new patients
MHS Primary Care, Inc Family Medicine Current Accepting new patients
Middlesex Hospital Family Medicine CurrentSince Dec 24, 2023 Accepting new patients
Middlesex Hospital Current Accepting new patients
MHS Primary Care Inc Family Medicine CurrentSince Aug 15, 2022 Accepting new patients

Locations

42 E High St
East Hampton, CT 06424
Phone (860) 344-6394

90 S Main St
Middletown, CT 06457
Phone (860) 358-6300

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

520 Saybrook Rd
Ste N100
Middletown, CT 06457
Phone (860) 344-1801

13 High St
Portland, CT 06480
Phone (860) 358-6418

270 Main St
Ste A
Portland, CT 06480
Phone (860) 358-5040

Interoperability endpoints

  • Direct secure messaging: jkatz13366@middlesexhealthprd.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1467940395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-358-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SAYBROOK RD STE N100",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574741",
            "telephone_number": "860-358-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "JONATHAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "071899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.