Individual provider Active NPI

Katherine S Freeman, MD

  • Gastroenterology Physician
  • Lake Success, NY
National Provider Identifier
1770752594
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
254865-1 Issued in NY
Practice address
4 Ohio Drive
Suite 200
Lake Success, NY 11042
Phone
(516) 775-4545
Fax
(516) 775-4646
NPI assigned
Feb 26, 2008
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 254865-1 NY Primary

Addresses

Primary practice location

4 Ohio Drive
Suite 200
Lake Success, NY 11042

Mailing address

4 Ohio Drive
Suite 200
Lake Success, NY 11042
Phone (516) 775-4545

Other practice location 1

2525 W University Ave Ste 300
Muncie, IN 47303-3432
Phone (765) 289-5408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130114000403 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 9931385580 Reassigns benefits to 4 organizations
I20210223000779 VI Practitioner - Gastroenterology 9931385580

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Northeastern Ohio University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

4 Ohio Dr
New Hyde Park, NY 11042-1111
Phone (516) 775-4545

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy73
Upper gastrointestinal (GI) endoscopy for acid reflux153

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254865-1NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine CurrentSince Sep 1, 2016 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Mar 7, 2020 Accepting new patients
CHS Physician Partners, P.C CurrentSince Mar 5, 2021 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Gastroenterology CurrentSince Sep 1, 2018 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Mount Sinai School of Medicine CurrentSince Sep 1, 2016 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Gastroenterology CurrentSince Sep 1, 2018 Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

1155 Northern Blvd
Ste 300
Manhasset, NY 11030

1615 Northern Blvd
Manhasset, NY 11030
Phone (516) 627-3717

4 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 519-8260

4 Ohio Dr
Ste 200
New Hyde Park, NY 11042
Phone (516) 775-4545

146A Manetto Hill Rd
Ste 205
Plainview, NY 11803
Phone (516) 302-8530

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

1111 Montauk Hwy
#3
West Islip, NY 11795
Phone (631) 669-1171

1175 Montauk Hwy
West Islip, NY 11795
Phone (631) 376-0001

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: kfreeman44274@direct-chsli.net

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1770752594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OHIO DRIVE",
            "address_2": "SUITE 200",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-775-4545",
            "fax_number": "516-775-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OHIO DRIVE",
            "address_2": "SUITE 200",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-775-4545",
            "fax_number": "516-775-4646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 W University Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473033432",
            "country_code": "US",
            "telephone_number": "765-289-5408",
            "fax_number": "765-254-3582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "KATHERINE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "254865-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Success, NY

Sources for this page

Verify at the official NPI Registry.