Individual provider Active NPI

Martha Mercedes Katz, M.D.

  • Pediatrics Physician
  • Homestead, FL
National Provider Identifier
1760530869
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME66565 Issued in FL
Practice address
810 West Mowry Street
Homestead, FL 33030
Phone
(305) 242-2008
Fax
(305) 242-2010
NPI assigned
Jan 8, 2007
Last updated
Sep 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME66565 FL Primary

Addresses

Primary practice location

810 West Mowry Street
Homestead, FL 33030

Mailing address

PO Box 651396
Miami, FL 33265-1396
Phone (305) 559-8148

Other identifiers 1

IdentifierTypeStateIssuer
256717200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20111005000786 FL Practitioner - Pediatric Medicine 2365614898 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME66565FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health of South Florida Inc Current Accepting new patients
Community Health of South Florida, Inc CurrentSince Aug 27, 2011 Accepting new patients
Community Health of South Florida Inc CurrentSince Aug 27, 2011 Accepting new patients
Community Health of South Florida, Inc. Past Accepting new patients

Locations

10300 SW 216th St
Cutler Bay, FL 33190

810 W Mowry Dr
Homestead, FL 33030
Phone (305) 248-4334

13540 SW 135th Ave
Miami, FL 33186
Phone (786) 223-0994

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1760530869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 651396",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332651396",
            "telephone_number": "305-559-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 WEST MOWRY STREET",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "33030",
            "telephone_number": "305-242-2008",
            "fax_number": "305-242-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "MARTHA",
        "middle_name": "MERCEDES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME66565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256717200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.