Active NPI
Ernest Katz III, M.D.
- Gastroenterology Physician
- Springfield, VA
National Provider Identifier
1477656791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0101041300
- Practice address
- 6128 Brandon Ave Ste 201
Springfield, VA 22150-2693 - Phone
- (703) 780-2800
- Fax
- (703) 780-0461
- NPI assigned
- Sep 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 0101041300 | VA | Primary |
| Internal Medicine Physician | 207R00000X | 0101041300 | VA |
Addresses
Primary practice location
6128 Brandon Ave Ste 201
Springfield, VA 22150-2693
Mailing address
6128 Brandon Ave Ste 201
Springfield, VA 22150-2693
Phone (703) 780-2800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088912 | Other | VA | ANTHEM |
| 8132482 | Other | VA | MAMSI |
| 95013001 | Other | VA | UNITED HEALTHCARE |
| B3800002 | Other | CAREFIRST BC/BS | |
| 4363621 | Other | VA | AETNA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1477656791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6128 BRANDON AVE STE 201",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221502693",
"telephone_number": "703-780-2800",
"fax_number": "703-780-0461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6128 BRANDON AVE STE 201",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221502693",
"telephone_number": "703-780-2800",
"fax_number": "703-780-0461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "ERNEST",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "VA",
"license": "0101041300",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101041300",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "088912",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "8132482",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "95013001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS",
"identifier": "B3800002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4363621",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.