Individual provider Active NPI

Douglas Michael Katz, MD

  • Internal Medicine Physician
  • Andover, MA
National Provider Identifier
1780693820
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
70570 Issued in MA
Practice address
323 Lowell St
Andover Medical Center & Express Care
Andover, MA 01810-4501
Phone
(978) 783-5000
Fax
(978) 313-8188
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 70570 MA Primary

Addresses

Primary practice location

323 Lowell St
Andover Medical Center & Express Care
Andover, MA 01810-4501

Mailing address

323 Lowell St
Andover Medical Center & Express Care
Andover, MA 01810-4501
Phone (978) 783-5000

Other identifiers 2

IdentifierTypeStateIssuer
3070131MedicaidMA
J16032OtherMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050411001006 MA Practitioner - Internal MedicinePractitioner - Emergency Medicine 0941247084 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. Internal Medicine CurrentSince Apr 7, 2021 Accepting new patients
Circle Health Urgent Care, LLC CurrentSince Dec 1, 2017 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Apr 7, 2021 Accepting new patients
Atrius Health, Inc. Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Atrius Health, Inc. Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Medical Group, Inc., the Internal Medicine Past Accepting new patients
LGH Professional Services LLC Internal Medicine Past Accepting new patients
River Valley Infectious Disease Specialists Inc. Past Accepting new patients
Seacoast Affiliated Group Practice, Inc. Past Accepting new patients

Locations

77 Herrick St
Ste 101
Beverly, MA 01915
Phone (978) 232-7115

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

199 Boston Rd
North Billerica, MA 01862
Phone (978) 323-2850

1 Essex Dr
Peabody, MA 01960
Phone (978) 538-4000

10 Cordage Park Cir
Ste 201
Plymouth, MA 02360
Phone (508) 746-6096

198 Littleton Rd
Ste 101
Westford, MA 01886
Phone (978) 323-0302

Interoperability endpoints

  • Direct secure messaging: dkatz31760@tuftsmedicine.direct-ci.com

Organizations & group practices 9

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1780693820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 LOWELL ST",
            "address_2": "ANDOVER MEDICAL CENTER & EXPRESS CARE",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104501",
            "telephone_number": "978-783-5000",
            "fax_number": "978-313-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 LOWELL ST",
            "address_2": "ANDOVER MEDICAL CENTER & EXPRESS CARE",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104501",
            "telephone_number": "978-783-5000",
            "fax_number": "978-313-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "DOUGLAS",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "70570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3070131",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "J16032",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

Verify at the official NPI Registry.