Active NPI
Ivan S. Katty, M.D.
- Diagnostic Radiology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301080165
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128303400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Adventhealth Tampa
- Adventhealth Port Charlotte
- Adventhealth Sebring
- Adventhealth Wesley Chapel
- Adventhealth Zephyrhills
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.78 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME175421 | FL | MD | Diagnostic Radiology Physician |
| 4301080165 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Current | Accepting new patients | |
| DRS Harris Birkhill Wang Songe & Assoc PC | Diagnostic Radiology | Current | 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
- ikatty221447@direct.hfhs.org
- 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.
-
- Diagnostic Radiology Physician
- Dearborn, MI
- NPI 1679529978
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
MI
-
dba Corewell Health Retail Pharmacy Westland
- Community/Retail Pharmacy
- Westland, MI
- NPI 1033128178
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Port Charlotte
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1760299093
-
dba AdventHealth Cancer Institute Sebring
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
dba AdventHealth Zephyrhills
- General Acute Care Hospital
- Zephyrhills, FL
- NPI 1346354677
-
dba AdventHealth Wesley Chapel
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
-
dba AdventHealth Tampa
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
-
dba AdventHealth Tampa Outreach Laboratory
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1134766694
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2026; 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.