Individual provider Active NPI

Ivan S. Katty, M.D.

  • Diagnostic Radiology Physician
  • Detroit, MI
National Provider Identifier
1598986473
Registry record updated Feb 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301080165 Issued in MI
Practice address
2799 W Grand Blvd
Department of Diagnostic Radiology
Detroit, MI 48202-2608
Phone
(313) 916-7425
NPI assigned
May 1, 2007
Last updated
Feb 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301080165 MI Primary
Diagnostic Radiology Physician 2085R0202X ME175421 FL

Addresses

Primary practice location

2799 W Grand Blvd
Department of Diagnostic Radiology
Detroit, MI 48202-2608

Mailing address

2799 W Grand Blvd
Department of Diagnostic Radiology
Detroit, MI 48202-2608
Phone (248) 228-6670

Other practice location 1

14055 Riveredge Dr Ste 250
Tampa, FL 33637-2141
Phone (813) 929-5451

Other identifiers 1

IdentifierTypeStateIssuer
128303400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 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
I20080208000106 MI Practitioner - Diagnostic Radiology 6305929712 Reassigns benefits to 2 organizations
I20250926001670 FL Practitioner - Diagnostic Radiology 6305929712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
DRS Harris Birkhill Wang Songe and Assoc PCGroup PAC ID 3779495338, 63 clinicians

Practice addresses (Care Compare)

Northville, MI 48167
Phone (800) 737-5654

10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 295-5142

18100 Oakwood Blvd
Suite 200
Dearborn, MI 48124-4085
Phone (313) 593-7301

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7301

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 246-6005

25045 Ford Rd
Suite 100
Dearborn, MI 48128-1088
Phone (313) 359-7650

33101 Annapolis St
Wayne, MI 48184-2405
Phone (313) 359-7600

33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000

5450 Fort St
Trenton, MI 48183-4601
Phone (734) 671-3877

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.78 of 100Reported as individual
Quality
46.59
Improvement activities
0
Cost
64.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME175421FLMDDiagnostic Radiology Physician
4301080165MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc CurrentSince Sep 8, 2025 Accepting new patients
DRS Harris Birkhill Wang Songe & Assoc PC Diagnostic Radiology CurrentSince Jun 1, 2008 Accepting new patients
Oakwood Healthcare Inc Past Accepting new patients

Locations

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

14055 Riveredge Dr
Ste 250
Tampa, FL 33637
Phone (813) 396-6238

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

18100 Oakwood Blvd
Ste 200
Dearborn, MI 48124
Phone (313) 438-7715

25045 Ford Rd
Dearborn, MI 48128
Phone (313) 359-0660

840 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 359-7600

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ikatty221447@direct.hfhs.org
  • Direct secure messaging: ikatty5327391@adventhealth.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770508800000",
    "number": "1598986473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "address_2": "DEPARTMENT OF DIAGNOSTIC RADIOLOGY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "248-228-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "address_2": "DEPARTMENT OF DIAGNOSTIC RADIOLOGY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-7425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14055 Riveredge Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336372141",
            "country_code": "US",
            "telephone_number": "813-929-5451",
            "fax_number": "813-929-5465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATTY",
        "first_name": "IVAN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2026-02-08",
        "certification_date": "2026-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301080165",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME175421",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128303400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.