Individual provider Active NPI

Charles A Katzenberg, MD

  • Cardiovascular Disease Physician
  • Tucson, AZ
National Provider Identifier
1710965405
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
12180 Issued in AZ
Practice address
2404 E River Rd
Building 2, Ste 100
Tucson, AZ 85718-6520
Phone
(520) 696-4780
Fax
(520) 293-7024
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 12180 AZ Primary

Addresses

Primary practice location

2404 E River Rd
Building 2, Ste 100
Tucson, AZ 85718-6520

Mailing address

3375 N Campbell Ave
Tucson, AZ 85719-2306
Phone (520) 838-2105

Other identifiers 1

IdentifierTypeStateIssuer
221341MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12180AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pima Heart Physicians, PC Cardiovascular Disease Past Accepting new patients
Tucson Medical Center Past Accepting new patients
Carondelet Specialist Group, Inc PastSince Jan 1, 2010 Accepting new patients
Arizona Diagnostic Pathology Associates PLLC PastSince Oct 27, 2024 Accepting new patients
Pima Heart Physicians, PC Cardiovascular Disease Past Accepting new patients
Pima Heart Physicians, PC Past Accepting new patients

Organizations & group practices 6

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1710965405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192306",
            "telephone_number": "520-838-2105",
            "fax_number": "520-838-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 E RIVER RD",
            "address_2": "BUILDING 2, STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186520",
            "telephone_number": "520-696-4780",
            "fax_number": "520-293-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZENBERG",
        "first_name": "CHARLES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "12180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221341",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.