Individual provider Active NPI

Katherine Cikatz

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1467975664
Registry record updated Jul 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0006516 Issued in MD
Practice address
227 Saint Paul St
Baltimore, MD 21202-2001
Phone
(410) 332-9062
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0006516 MD Primary

Addresses

Primary practice location

227 Saint Paul St
Baltimore, MD 21202-2001

Mailing address

3613 Buena Vista Ave
Baltimore, MD 21211-1930
Phone (860) 705-7274

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171021000012 MD Practitioner - Physician Assistant 8224304175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
University of Maryland St Joseph Medical Group LLCGroup PAC ID 4880846179, 288 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

2600 Compass Rd
Glenview, IL 60026-8001

7505 Osler Dr
Towson, MD 21204-7740

7505 Osler Dr
Suite 305 307
Towson, MD 21204-7736
Phone (410) 337-4877

7601 Osler Dr
Towson, MD 21204-7700
Phone (410) 337-1379

Hospital & facility affiliations

  • University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063

Merit-based Incentive Payment System (MIPS)

Final score
87.09 of 100Reported as group
Quality
79.06
Promoting interoperability
100
Improvement activities
40
Cost
77.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0006516MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Paul Place Specialists Inc CurrentSince Sep 19, 2017 Accepting new patients
St. Paul Place Specialists, Inc. CurrentSince Sep 19, 2017 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC Past Accepting new patients

Locations

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

Interoperability endpoints

  • Direct secure messaging: kcikatz828521@direct.umm.edu

Organizations & group practices 6

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 1

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": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500422400000",
    "number": "1467975664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 BUENA VISTA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111930",
            "telephone_number": "860-705-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 SAINT PAUL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022001",
            "telephone_number": "410-332-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIKATZ",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2017-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.