Individual provider Active NPI

Katherine April Placido, PA-C

  • Physician Assistant
  • Farmington Hills, MI
National Provider Identifier
1619201563
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601009701 Issued in MI
Practice address
30055 Northwestern Hwy Ste L-30
Farmington Hills, MI 48334-3211
Phone
(248) 865-4238
Fax
(248) 865-4237
NPI assigned
Sep 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4517 AZ
Physician Assistant 363A00000X 5601009701 MI Primary

Addresses

Primary practice location

30055 Northwestern Hwy Ste L-30
Farmington Hills, MI 48334-3211

Mailing address

30055 Northwestern Hwy Ste L-30
Farmington Hills, MI 48334-3211
Phone (248) 865-4238

Other practice location 1

4550 E Bell Rd
Suite 170
Phoenix, AZ 85032-9306
Phone (480) 443-8400

Other identifiers 1

IdentifierTypeStateIssuer
466387MedicaidAZ

Other names 1

  • Katherine A Byrne Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091030000153 AZ Practitioner - Physician Assistant 5799822342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Arthritis and Rheumatology Associates P CGroup PAC ID 8123912516, 63 clinicians

Practice addresses (Care Compare)

10615 W Thunderbird Blvd
Suite B100
Sun City, AZ 85351-2748
Phone (480) 443-8400

13028 W Rancho Santa Fe Blvd
Avondale, AZ 85392-1712
Phone (480) 433-8400

4550 E Bell Rd
Phoenix, AZ 85032-9385
Phone (480) 443-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Arthritis and Rheumatology Associates CurrentSince Nov 18, 2014 Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

5681 W Beverly Ln
Ste 100
Glendale, AZ 85306
Phone (480) 443-8697

9520 W Palm Ln
Ste 220
Phoenix, AZ 85037

4550 E Bell Rd
Ste 170
Phoenix, AZ 85032
Phone (460) 443-8400

Interoperability endpoints

  • Direct secure messaging: katherine.placido.p1@direct.aara.nextgenshare.com

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": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1619201563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY STE L-30",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343211",
            "telephone_number": "248-865-4238",
            "fax_number": "248-865-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY STE L-30",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343211",
            "telephone_number": "248-865-4238",
            "fax_number": "248-865-4237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4550 E Bell Rd",
            "address_2": "Suite 170",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850329306",
            "country_code": "US",
            "telephone_number": "480-443-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLACIDO",
        "first_name": "KATHERINE",
        "middle_name": "APRIL",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4517",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "466387",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "BYRNE",
            "middle_name": "A",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.