Individual provider Active NPI

Joseph Joseph Katta, MD

  • Gastroenterology Physician
  • Fort Pierce, FL
National Provider Identifier
1508892563
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0047323 Issued in FL
Practice address
1900 Nebraska Ave
Suite 5
Fort Pierce, FL 34950-4837
Phone
(772) 466-7200
Fax
(772) 466-9513
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0047323 FL Primary

Addresses

Primary practice location

1900 Nebraska Ave
Suite 5
Fort Pierce, FL 34950-4837

Mailing address

1900 Nebraska Ave
Suite 5
Fort Pierce, FL 34950-4837
Phone (772) 466-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070507000277 FL Practitioner - Gastroenterology 8224058706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Joseph J Katta MD PAGroup PAC ID 0244311553, 6 clinicians

Practice addresses (Care Compare)

1900 Nebraska Ave
Suite 5
Fort Pierce, FL 34950-4837
Phone (772) 466-7200

Hospital & facility affiliations

  • St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
81.53
Improvement activities
40
Cost
77.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy194
Upper gastrointestinal (GI) endoscopy for acid reflux87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0047323FLMDGastroenterology Physician
47323FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Surgical Center Inc Current Accepting new patients
Gulfstream Anesthesia Associates Inc CurrentSince Dec 23, 2008 Accepting new patients
Joseph J Katta MD PA Gastroenterology CurrentSince Aug 10, 2006 Accepting new patients
St. Lucie Surgical Center, P.a. PastSince Sep 22, 2000 Accepting new patients
Metropolitan Anesthesia Group PL PastSince Jun 13, 2005 Accepting new patients

Locations

1900 Nebraska Ave
Ste 5
Fort Pierce, FL 34950
Phone (772) 466-7200

1900 Nebraska Ave
Ste 4
Fort Pierce, FL 34950
Phone (772) 461-7500

1811 S 25th St
Fort Pierce, FL 34947
Phone (772) 466-4070

306 NW Bethany Dr
Port St Lucie, FL 34986
Phone (772) 466-7200

1700 SE Hillmoor Dr
Ste 402
Port St Lucie, FL 34952
Phone (772) 335-7883

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508892563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 NEBRASKA AVE",
            "address_2": "SUITE 5",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504837",
            "telephone_number": "772-466-7200",
            "fax_number": "772-466-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NEBRASKA AVE",
            "address_2": "SUITE 5",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504837",
            "telephone_number": "772-466-7200",
            "fax_number": "772-466-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTA",
        "first_name": "JOSEPH",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "0047323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.