Active NPI
Sherman A Katz, MD
- Vascular Surgery Physician
- Duncan Falls, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 35039366
- Practice address
- 377 Main St
Duncan Falls, OH 43734-9763 - Phone
- (740) 280-0001
- Fax
- (740) 280-0002
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 35039366 | OH | Primary |
Addresses
Primary practice location
377 Main St
Duncan Falls, OH 43734-9763
Mailing address
PO Box 277
Duncan Falls, OH 43734-0277
Phone (740) 280-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0369551 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Ohio State University College of Medicine, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Buffalo Grove, IL 60089
Phone (224) 716-3212
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35039366 | OH | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healogics Specialty Physicians of Illinois, LLC | Current | Accepting new patients | |
| Mobile Wound Care Corp | Vascular Surgery | Current | Accepting new patients |
| Osu Surgery, LLC | Past | Accepting new patients | |
| Mount Carmel Health Providers Two LLC | Vascular Surgery | Past | Accepting new patients |
| Mount Carmel Healthproviders Two LLC | Vascular Surgery | Past | Accepting new patients |
Locations
5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686
975 Weiland Rd
Unit 100
Buffalo Grove, IL 60089
Phone (224) 716-3212
1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701
2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000
77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407
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.
-
- Vascular Surgery Physician
- Buffalo Grove, IL
- NPI 1811866080
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Alton, IL
- NPI 1215355110
-
- Vascular Surgery Physician
- Columbus, OH
- NPI 1194992578
-
- Cardiovascular Disease Physician
- Columbus, OH
- NPI 1134154750
Vascular Surgery
-
- Surgery Physician
- Columbus, OH
- NPI 1538117551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1588746572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 277",
"city": "DUNCAN FALLS",
"state": "OH",
"postal_code": "437340277",
"telephone_number": "740-280-0001",
"fax_number": "740-280-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 MAIN ST",
"city": "DUNCAN FALLS",
"state": "OH",
"postal_code": "437349763",
"telephone_number": "740-280-0001",
"fax_number": "740-280-0002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "SHERMAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "OH",
"license": "35039366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0369551",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duncan Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.