Individual provider Active NPI

Brett W. Katzen, M.D.

  • Specialist
  • Lutherville, MD
National Provider Identifier
1740288109
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0043103 Issued in MD
Practice address
1209 York Rd
Suite 200
Lutherville, MD 21093-6207
Phone
(410) 821-9490
Fax
(410) 821-9495
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0043103 MD Primary

Addresses

Primary practice location

1209 York Rd
Suite 200
Lutherville, MD 21093-6207

Mailing address

1209 York Rd
Suite 200
Lutherville, MD 21093-6207
Phone (410) 821-9490

Other identifiers 1

IdentifierTypeStateIssuer
607351401MedicaidMD

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
I20100503000197 MD Practitioner - Ophthalmology 9739217365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katzen Medical Associates PCGroup PAC ID 9436051232, 24 clinicians

Practice addresses (Care Compare)

1209 York Rd
Lutherville, MD 21093-6220
Phone (410) 821-9490

Merit-based Incentive Payment System (MIPS)

Final score
85.29 of 100Reported as group
Quality
82.7
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0043103MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Katzen Medical Associates, PC CurrentSince Apr 23, 1992 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

301 Saint Paul St
Ste 902
Baltimore, MD 21202
Phone (410) 727-8380

1209 York Rd
Ste 200
Lutherville Timonium, MD 21093
Phone (410) 821-9490

1209 York Rd
Timonium, MD 21093
Phone (410) 821-9490

901 Dulaney Valley Rd
Ste 210
Towson, MD 21204
Phone (410) 821-9490

Interoperability endpoints

  • Direct secure messaging: brett.katzen.p1@direct.katzeneye.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1740288109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 YORK RD",
            "address_2": "SUITE 200",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936207",
            "telephone_number": "410-821-9490",
            "fax_number": "410-821-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 YORK RD",
            "address_2": "SUITE 200",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936207",
            "telephone_number": "410-821-9490",
            "fax_number": "410-821-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZEN",
        "first_name": "BRETT",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0043103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "607351401",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.