NPIMap

Individual provider Active NPI

Michael T. Koltz, MD

  • Neurological Surgery Physician
  • Madison, WI
National Provider Identifier
1689700726
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
60288-020 Issued in WI
Practice address
700 S Park St
Suite a
Madison, WI 53715-1830
Phone
(608) 260-2900
Fax
(608) 260-3447
NPI assigned
Feb 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 60288-020 WI Primary

Addresses

Primary practice location

700 S Park St
Suite a
Madison, WI 53715-1830

Mailing address

700 S Park St
Suite a
Madison, WI 53715-1830
Phone (608) 260-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160512000989 TX Practitioner - Neurosurgery 0042451585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Medical College of Ohio, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1401 Medical Pkwy
Suite 320
Cedar Park, TX 78613-5014
Phone (512) 324-4816

201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (512) 324-4000

301 Seton Pkwy
Round Rock, TX 78665-8003

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

Hospital & facility affiliations

  • Ascension at Home Home health agency, Burnet, TX, CCN 677154
  • Enhabit Home Health Home health agency, Georgetown, TX, CCN 679647
  • Capitol Home Health Home health agency, Austin, TX, CCN 747581
  • Enhabit Home Health Home health agency, Temple, TX, CCN 673127
  • Enhabit Home Health Home health agency, San Antonio, TX, CCN 679044
  • Ascension Seton Williamson Hospital, Round Rock, TX, CCN 670041
  • Ascension Seton Cedar Park Hospital, Cedar Park, TX, CCN 670043
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Ascension Seton Northwest Hospital, Austin, TX, CCN 450867
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Lakeway, TX, CCN 673058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion109
Laminectomy or laminotomy (partial removal of spine bones)37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60288-020WIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Apr 1, 2016 Accepting new patients
Seton Family of Doctors Neurological Surgery Current Accepting new patients
Seton Family of Doctors Neurological Surgery CurrentSince Apr 1, 2016 Accepting new patients

Locations

4616 W Howard Ln
Austin, TX 78728
Phone (224) 558-8613

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1401 Medical Pkwy
Ste 320
Cedar Park, TX 78613
Phone (512) 324-4816

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

301 Seton Pkwy
Ste 402
Round Rock, TX 78665
Phone (512) 324-4815

Interoperability endpoints

  • Direct secure messaging: michael.koltz.1@8363.direct.athenahealth.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 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": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1689700726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S PARK ST",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151830",
            "telephone_number": "608-260-2900",
            "fax_number": "608-260-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S PARK ST",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151830",
            "telephone_number": "608-260-2900",
            "fax_number": "608-260-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLTZ",
        "first_name": "MICHAEL",
        "middle_name": "T.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-25",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WI",
            "license": "60288-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.