Individual provider Active NPI

Paul M Katz, DO

  • Family Medicine Physician
  • Cecilton, MD
National Provider Identifier
1629047154
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0056426 Issued in MD
Practice address
251 Bohemia Ave
Cecilton, MD 21913-0000
Phone
(410) 275-8157
Fax
(877) 433-6830
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0056426 MD Primary

Addresses

Primary practice location

251 Bohemia Ave
Cecilton, MD 21913-0000

Mailing address

PO Box 669
Cecilton, MD 21913-0669
Phone (410) 275-8156

Other identifiers 1

IdentifierTypeStateIssuer
080171527OtherMDMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100414000066 MD Practitioner - Family PracticePractitioner - Addiction Medicine 0143356618 Reassigns benefits to 1 organization
Practice locations: Cecilton, MD

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Wellness Center 2 clinicians

Practice addresses (Care Compare)

105 E Main St
Elkton, MD 21921-5906
Phone (410) 275-8156

251 S Bohemia Ave
Cecilton, MD 21913-9998

Hospital & facility affiliations

  • Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032
  • University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030
  • Temple University Hospital Hospital, Philadelphia, PA, CCN 390027

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Wellness Center CurrentSince Jan 1, 2017 Accepting new patients
Advanced Radiology P a Past Accepting new patients
Paul Katz, D.O. Family Medicine PastSince Apr 1, 2001 Accepting new patients
Wallace Bruce Obenshain Cecilton Family Practice Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pkatz@pmkd-md.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 10

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1629047154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "CECILTON",
            "state": "MD",
            "postal_code": "219130669",
            "telephone_number": "410-275-8156",
            "fax_number": "877-433-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 BOHEMIA AVE",
            "city": "CECILTON",
            "state": "MD",
            "postal_code": "219130000",
            "telephone_number": "410-275-8157",
            "fax_number": "877-433-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0056426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080171527",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cecilton, MD

Sources for this page

Verify at the official NPI Registry.