Individual provider Active NPI

Oleg Katcher, MD

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1598701468
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
211769 Issued in NY
Practice address
1765 E 19TH St
Brooklyn, NY 11229-2233
Phone
(718) 360-5953
Fax
(718) 758-4380
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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 211769 NY Primary

Addresses

Primary practice location

1765 E 19TH St
Brooklyn, NY 11229-2233

Mailing address

1765 E 19TH St
Brooklyn, NY 11229-2233
Phone (718) 360-5953

Other identifiers 1

IdentifierTypeStateIssuer
02461714MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040324000289 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 4789575184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oleg Katcher MD PCGroup PAC ID 6305917071, 3 clinicians

Practice addresses (Care Compare)

1765 E 19TH St
Brooklyn, NY 11229-2233
Phone (718) 360-5953

5091 Emboy Rd
Staten Island, NY 10312
Phone (718) 948-0221

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy222
Upper gastrointestinal (GI) endoscopy for acid reflux220

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oleg Katcher MDPC Gastroenterology CurrentSince Jun 2, 2004 Accepting new patients
Gastrointestinal Care of Long Island PLLC Gastroenterology CurrentSince Mar 1, 2024 Accepting new patients
Kings Highway Endoscopy PC Gastroenterology Past Accepting new patients
Nymhc FPP Nephrology Past Accepting new patients

Locations

187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

1326 Clove Rd
Staten Island, NY 10301
Phone (718) 556-1326

5091 Amboy Rd
Staten Island, NY 10312
Phone (718) 948-0221

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIDGAD/Endpoint/IIDGAD

Organizations & group practices 4

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1598701468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 E 19TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292233",
            "telephone_number": "718-360-5953",
            "fax_number": "718-758-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 E 19TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292233",
            "telephone_number": "718-360-5953",
            "fax_number": "718-758-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATCHER",
        "first_name": "OLEG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "211769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02461714",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.