Individual provider Active NPI

Edward Z Katcoff, DPM

  • Podiatrist
  • Baltimore, MD
National Provider Identifier
1750491254
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0684 Issued in MD
Practice address
1441 N Rolling Rd
Baltimore, MD 21228
Phone
(410) 747-6881
Fax
(410) 747-6881
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0684 MD Primary

Addresses

Primary practice location

1441 N Rolling Rd
Baltimore, MD 21228

Mailing address

1441 N Rolling Rd
Baltimore, MD 21228
Phone (410) 747-6881

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120314000373 MD Practitioner - Podiatry 5496914269 Practice locations: Catonsville, MD

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1441 N Rolling Rd
Baltimore, MD 21228-1104

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of nail tissue103
Removal or shaving of skin growth101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0684MDMDPodiatrist
00684MDMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750491254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N ROLLING RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21228",
            "telephone_number": "410-747-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N ROLLING RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21228",
            "telephone_number": "410-747-6881",
            "fax_number": "410-747-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATCOFF",
        "first_name": "EDWARD",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "0684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.