Individual provider Active NPI

Joshua D Katz, MD

  • Neurology Physician
  • Wellesley, MA
National Provider Identifier
1659367522
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
79807 Issued in MA
Practice address
110 Cedar St Ste 110
Wellesley, MA 02481-3527
Phone
(781) 591-8300
Fax
(781) 591-8320
NPI assigned
Sep 26, 2005
Last updated
Sep 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 79807 MA Primary

Addresses

Primary practice location

110 Cedar St Ste 110
Wellesley, MA 02481-3527

Mailing address

110 Cedar St Ste 110
Wellesley, MA 02481-3527
Phone (781) 591-8300

Other identifiers 1

IdentifierTypeStateIssuer
3194108MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20090126000020 MA Practitioner - NeurologyPractitioner - Psychiatry 4789748492 Reassigns benefits to 1 organization
Practice locations: Wellesley, MA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Tufts University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Elliot Lewis Center for Multiple Sclerosis Care LLCGroup PAC ID 3072807650, 2 clinicians

Practice addresses (Care Compare)

110 Cedar St
Suite 110
Wellesley, MA 02481-3527
Phone (781) 591-8300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79807MAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Elliot Lewis Center for Multiple Sclerosis Care LLC Neurology CurrentSince Jul 24, 2022 Accepting new patients
The Elliot Lewis Center for Multiple Sclerosis Care LLC Neurology CurrentSince Apr 9, 2016 Accepting new patients

Locations

110 Cedar St
Ste 110
Wellesley Hills, MA 02481
Phone (781) 591-8300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1659367522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CEDAR ST STE 110",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024813527",
            "telephone_number": "781-591-8300",
            "fax_number": "781-591-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CEDAR ST STE 110",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024813527",
            "telephone_number": "781-591-8300",
            "fax_number": "781-591-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "JOSHUA",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "79807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3194108",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.