Individual provider Active NPI

Khalil A. Katato, M.D.

  • Hematology & Oncology Physician
  • Flint, MI
National Provider Identifier
1477518629
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
4301058444 Issued in MI
Practice address
302 Kensington Ave
Flint, MI 48503-2044
Phone
(810) 762-8200
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 4301058444 MI Primary

Addresses

Primary practice location

302 Kensington Ave
Flint, MI 48503-2044

Mailing address

302 Kensington Ave
Flint, MI 48503-2044
Phone (810) 762-8200

Other identifiers 1

IdentifierTypeStateIssuer
104334783MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkatato4324@direct.hurleymc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040203000813 MI Practitioner - Hematology/OncologyPractitioner - Hospice/Palliative Care 1557254620 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Hospice/Palliative Care
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians
Cancer and Hematology Centers of Western Mi, P.C.Group PAC ID 4082526793, 109 clinicians

Practice addresses (Care Compare)

1 Hurley Plasa
9W Hurley Maternal Fetal Medicine
Flint, MI 48503-5902
Phone (810) 262-4787

1 Hurley PLZ
Flint, MI 48503-5902

302 Kensington Ave
Flint, MI 48503-2044
Phone (810) 762-8400

Hospital & facility affiliations

  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197
  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
  • Hurley Medical Center Hospital, Flint, MI, CCN 230132
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301058444MIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center CurrentSince Jun 27, 2018 Accepting new patients
Cancer & Hematology Centers of Western Mi, P.C. CurrentSince Jun 1, 2025 Accepting new patients
Genesee Hematology-Oncology, P.C. Hematology & Oncology CurrentSince Oct 1, 2001 Accepting new patients
Cancer & Hematology Centers of Western Mi, P.C. CurrentSince Jun 1, 2025 Accepting new patients
Hurley Medical Center CurrentSince Jun 27, 2018 Accepting new patients
Hurley Medical Center Current Accepting new patients

Locations

2 Hurley Plz
Ste 211
Flint, MI 48503
Phone (810) 235-3600

302 Kensington Ave
Flint, MI 48503
Phone (810) 762-8058

302 Kensington Ave
Ste B
Flint, MI 48503
Phone (810) 762-8200

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

145 Michigan St NE
Ste 3100
Grand Rapids, MI 49503
Phone (616) 954-9800

944 Baldwin Rd
Lapeer, MI 48446
Phone (248) 650-9100

Interoperability endpoints

  • Direct secure messaging: kkatato1134221@direct.hfhs.org

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 5

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1477518629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 KENSINGTON AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032044",
            "telephone_number": "810-762-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 KENSINGTON AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032044",
            "telephone_number": "810-762-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATATO",
        "first_name": "KHALIL",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301058444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104334783",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkatato4324@direct.hurleymc.com",
            "affiliation": "N",
            "address_1": "1 Hurley Plz",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485035902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.