Individual provider Active NPI

Cheryl Lynne Katz, MD

  • Family Medicine Physician
  • Euclid, OH
National Provider Identifier
1790880235
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35079614 Issued in OH
Practice address
18599 Lake Shore Blvd Ste 200
Euclid, OH 44119-1071
Phone
(216) 383-5303
Fax
(216) 383-5309
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35079614 OH Primary

Addresses

Primary practice location

18599 Lake Shore Blvd Ste 200
Euclid, OH 44119-1071

Mailing address

24701 Euclid Ave
Third Floor - Billing Services
Euclid, OH 44117-1714
Phone (216) 383-5303

Other identifiers 5

IdentifierTypeStateIssuer
7786422OtherAETNA
0111832OtherUNITED HEALTHCARE
341905631028OtherCARESOURCE
2329975MedicaidOH
000000248171OtherANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cherylkatz@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35079614OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care Center LLC Family Medicine CurrentSince Jul 5, 2002 Accepting new patients
Home Healthcare Services LLC PastSince Jul 5, 2002 Accepting new patients
University Primary Care Practices Inc Family Medicine Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients

Locations

1250 Superior Ave
Cleveland, OH 44114
Phone (216) 621-5275

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1790880235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "THIRD FLOOR - BILLING SERVICES",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "216-383-5303",
            "fax_number": "216-383-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18599 LAKE SHORE BLVD STE 200",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441191071",
            "telephone_number": "216-383-5303",
            "fax_number": "216-383-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "CHERYL",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35079614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7786422",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0111832",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341905631028",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2329975",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000248171",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cherylkatz@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "18599 Lake Shore Blvd Ste 200",
            "city": "Euclid",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441191071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.