Kathleen M Gotzmann, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0052506 Issued in MD

Practice address

308 N Union Ave
Havre de Grace, MD 21078-2825

Phone

(410) 939-3121

Fax

(410) 939-8278

NPI assigned

Aug 19, 2005

Last updated

Apr 27, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Obstetrics/Gynecology

Education

Hahnemann University College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Susquehanna OB-GYN LLCGroup PAC ID 9335129766, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049
• Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032

Merit-based Incentive Payment System (MIPS)

Final score

88.69 of 100Reported as group

Quality

86.34

Improvement activities

40

Cost

74.99

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathleen.gotzmann.1@18404.direct.athenahealth.com

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.

• Susquehanna OB-GYN LLC

  • Obstetrics & Gynecology Physician
  • Bel Air, MD
  • NPI 1104818871

  Specialist

  Medicare reassignment Care Compare group NPD
• Maryland Physicians Edge LLC

  • Obstetrics & Gynecology Physician
  • Silver Spring, MD
  • NPI 1972922920
  Medicare reassignment NPD
• Maryland Physicians Edge LLC

  • Clinical Medical Laboratory
  • Beltsville, MD
  • NPI 1700572518
  NPD
• Upper Chesapeake Medical Center, Inc.

  dba UM Upper Chesapeake Medical Center at Aberdeen

  • General Acute Care Hospital
  • Bel Air, MD
  • NPI 1598761355
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Union Hospital of Cecil County

  • General Acute Care Hospital
  • Elkton, MD
  • NPI 1376523357
  Care Compare affiliation
• Upper Chesapeake Medical Center, Inc.

  dba UM Upper Chesapeake Medical Center at Aberdeen

  • General Acute Care Hospital
  • Bel Air, MD
  • NPI 1598761355
  Care Compare affiliation

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1740272228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144375",
            "telephone_number": "443-643-4300",
            "fax_number": "443-643-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N UNION AVE",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782825",
            "telephone_number": "410-939-3121",
            "fax_number": "410-939-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTZMANN",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0052506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "952900400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Goetz Anesthesia Services, Inc.
• Gomez Yim & Rastogi, M.D., P.a. (Havre de Grace Pediatric Center)
• Anthony Franco Gonzales
• Kaitlyn Nicole Gordon, LCSW-C
• Ernest Glenn Gorleski, NFP-BC
• Grace Home Medical Equipment LLC
• Amanda Graziano, MA
• Rachel Grden, LGSW
• Grifasi Eyecare & Optical II, Inc. (Holloway Eye Care & Optique)
• Judith Holloway Grifasi, O.D.

• Specialist in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.