Individual provider Active NPI

Douglas A Katz, M.D.

  • Pediatric Critical Care Medicine Physician
  • Wilmington, DE
National Provider Identifier
1548219504
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
C10008171 Issued in DE
Practice address
1600 Rockland Rd
Wilmington, DE 19803-3607
Phone
(302) 651-4200
Fax
(302) 651-5990
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X C10008171 DE Primary
Pediatric Surgery Physician 2086S0120X MD050152L PA

Addresses

Primary practice location

1600 Rockland Rd
Wilmington, DE 19803-3607

Mailing address

PO Box 191
Provider Enrollment Dept
Rockland, DE 19732-0191
Phone (302) 651-6212

Other identifiers 1

IdentifierTypeStateIssuer
0018186670001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040127000660 PA Practitioner - Pediatric MedicinePractitioner - General Surgery 5991608192 Reassigns benefits to 1 organization
I20070606000106 NJ Practitioner - General SurgeryPractitioner - Pediatric Medicine 5991608192 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Aug 26, 2021 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Feb 23, 2017 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Feb 23, 2017 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 26, 2021 Accepting new patients
Nemours New Jersey Physician Practice, P.C. CurrentSince Jul 26, 2017 Accepting new patients
Apple Drugs Inc Past Accepting new patients
SCHC Pediatric Associates, LLC Pediatric Critical Care Medicine Past Accepting new patients
The Nemours Foundation Past Accepting new patients

Locations

1600 Rockland Rd
Wilmington, DE 19803

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

3 Cooper Plz
Rm 100
Camden, NJ 08103
Phone (856) 342-2040

3 Cooper Plz
Rm 200
Camden, NJ 08103
Phone (609) 342-2001

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500

303 Central Ave
Ste 4
Egg Harbor Township, NJ 08234
Phone (856) 536-1810

110 Marter Ave
Ste 402
Moorestown, NJ 08057
Phone (856) 234-7073

2 Plaza Dr
Ste 202
Sewell, NJ 08080
Phone (856) 270-4100

101 Carnie Blvd
Voorhees, NJ 08043
Phone (856) 325-3000

110 Carnie Blvd
Voorhees, NJ 08043
Phone (856) 325-5800

6400 Main St
#901
Voorhees, NJ 08043

651 John F Kennedy Way
Willingboro, NJ 08046
Phone (609) 835-2838

1280 Almonesson Rd
Woodbury, NJ 08096
Phone (856) 345-1401

509 N Broad St
Ste 104
Woodbury, NJ 08096
Phone (609) 784-5581

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: dkatz68047@direct.cooperhealth.edu
  • Direct secure messaging: douglas.katz@slpg.direct-sluhn.org

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1548219504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "address_2": "PROVIDER ENROLLMENT DEPT",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191",
            "telephone_number": "302-651-6212",
            "fax_number": "302-651-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ROCKLAND RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033607",
            "telephone_number": "302-651-4200",
            "fax_number": "302-651-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "DOUGLAS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "DE",
            "license": "C10008171",
            "primary": true
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "PA",
            "license": "MD050152L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018186670001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.