Active NPI
Harry Irving Katz, MD
- Dermatology Physician
- Minneapolis, MN
National Provider Identifier
1477641066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 15870
- Practice address
- 516 Delaware Street S.E.
PWB Fifth Floor, Clinic 5a
Minneapolis, MN 55455 - Phone
- (612) 625-5656
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 15870 | MN | Primary |
Addresses
Primary practice location
516 Delaware Street S.E.
PWB Fifth Floor, Clinic 5a
Minneapolis, MN 55455
Mailing address
420 Delaware St SE MM 98
University of Minnesota Physicians
Minneapolis, MN 55455
Phone (612) 625-5656
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0377009 | Other | MN | PREFERRED ONE |
| 120988 | Other | MN | U CARE |
| 31329600 | Other | WI | WISCONSIN MEDICAID |
| 03-00131 | Other | MN | MEDICA-CHOICE |
| 068A2KA | Other | MI | BLUE CROSS BLUE SHIELD |
| HP13661 | Other | MN | HEALTH PARNTERS |
| 0505339 | Other | IA | IOWA MEDICAID |
| 03-00010 | Other | MN | MEDICA-PRIMARY |
| 768186 | Other | ARAZ | |
| 095414 | Other | MN | FAIRVIEW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15870 | MN | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477641066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 DELAWARE ST SE MM 98",
"address_2": "UNIVERSITY OF MINNESOTA PHYSICIANS",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-625-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 DELAWARE STREET S.E.",
"address_2": "PWB FIFTH FLOOR, CLINIC 5A",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-625-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "HARRY",
"middle_name": "IRVING",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MN",
"license": "15870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "0377009",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U CARE",
"identifier": "120988",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN MEDICAID",
"identifier": "31329600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA-CHOICE",
"identifier": "03-00131",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "068A2KA",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARNTERS",
"identifier": "HP13661",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA MEDICAID",
"identifier": "0505339",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA-PRIMARY",
"identifier": "03-00010",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "768186",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAIRVIEW",
"identifier": "095414",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.