Individual provider Active NPI

Kent Douglas Katz, MD

  • Gastroenterology Physician
  • Casper, WY
National Provider Identifier
1578673265
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
6329A Issued in WY
Practice address
1441 Wilkins Circle
Gastroenterology Associates PC
Casper, WY 82601
Phone
(307) 265-1792
Fax
(207) 237-8106
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 6329A WY Primary

Addresses

Primary practice location

1441 Wilkins Circle
Gastroenterology Associates PC
Casper, WY 82601

Mailing address

1441 Wilkins Circle
Gastroenterology Associates PC
Casper, WY 82601
Phone (307) 265-1792

Other identifiers 2

IdentifierTypeStateIssuer
0058812MedicaidMT
308319OtherBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, AZ2 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
I20031118000202 WY Practitioner - GastroenterologyPractitioner - Internal Medicine 0749194512 Reassigns benefits to 1 organization
I20200317000349 AZ Practitioner - Gastroenterology 0749194512

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates, LLC Gastroenterology CurrentSince Jan 17, 2000 Accepting new patients

Locations

1600 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 608-5500

1441 Wilkins Cir
Casper, WY 82601
Phone (307) 265-1792

Interoperability endpoints

  • Direct secure messaging: kent.katz@direct.wyomingmedicalcenter.org
  • Direct secure messaging: kkatz@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578673265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 WILKINS CIRCLE",
            "address_2": "GASTROENTEROLOGY ASSOCIATES PC",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82601",
            "telephone_number": "307-265-1792",
            "fax_number": "207-237-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 WILKINS CIRCLE",
            "address_2": "GASTROENTEROLOGY ASSOCIATES PC",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82601",
            "telephone_number": "307-265-1792",
            "fax_number": "207-237-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "KENT",
        "middle_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WY",
            "license": "6329A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058812",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "308319",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.