Individual provider Active NPI

Sherman A Katz, MD

  • Vascular Surgery Physician
  • Duncan Falls, OH
National Provider Identifier
1588746572
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35039366 Issued in OH
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

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0369551MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231226001351 IL Practitioner - Vascular Surgery 1355413923 Reassigns benefits to 2 organizations

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

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35039366OHMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Illinois, LLC CurrentSince Nov 15, 2023 Accepting new patients
Mobile Wound Care Corp Vascular Surgery CurrentSince Sep 1, 2025 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.

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

Verify at the official NPI Registry.