NPIMap

Individual provider Active NPI

Katalin H Boleratzky, MD

  • Anesthesiology Physician
  • Tempe, AZ
National Provider Identifier
1801846993
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35876 Issued in AZ
Practice address
2421 E Southern Ave
Ste 1
Tempe, AZ 85282-7612
Phone
(480) 425-2160
Fax
(480) 351-8797
NPI assigned
May 11, 2006
Last updated
Feb 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A76193 CA
Anesthesiology Physician 207L00000X 35876 AZ Primary

Addresses

Primary practice location

2421 E Southern Ave
Ste 1
Tempe, AZ 85282-7612

Mailing address

PO Box 41150
Mesa, AZ 85274-1150
Phone (480) 425-2160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070130000317 AZ Practitioner - Anesthesiology 0143257170 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
District Medical Group IncGroup PAC ID 7315086691, 454 clinicians
Pca AnesthesiaGroup PAC ID 1658675558, 54 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 346-0350

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011

300 W Clarendon Ave
Suite 142
Phoenix, AZ 85013-3449
Phone (602) 234-1803

3141 N 3Rd Ave
Phoenix, AZ 85013-4360
Phone (602) 914-1520

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.59 of 100Reported as group
Quality
81.55
Promoting interoperability
100
Improvement activities
40
Cost
79.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A76193CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Mar 23, 2021 Accepting new patients
Pca Anesthesia Anesthesiology CurrentSince Mar 1, 2019 Accepting new patients
District Medical Group, Inc Anesthesiology CurrentSince Mar 23, 2021 Accepting new patients
Katalin H Boleratzky MD Inc Anesthesiology Current Accepting new patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc Anesthesiology Past Accepting new patients
Sjhmc Physician Services Past Accepting new patients

Locations

10144 W Lake Pleasant Pkwy
Ste 1110
Peoria, AZ 85382
Phone (623) 434-5748

8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 344-5287

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

300 W Clarendon Ave
Ste 142
Phoenix, AZ 85013
Phone (602) 234-1803

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

2421 E Southern Ave
Ste 1
Tempe, AZ 85282
Phone (480) 425-2157

Organizations & group practices 8

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1801846993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41150",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852741150",
            "telephone_number": "480-425-2160",
            "fax_number": "480-839-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 E SOUTHERN AVE",
            "address_2": "STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827612",
            "telephone_number": "480-425-2160",
            "fax_number": "480-351-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLERATZKY",
        "first_name": "KATALIN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A76193",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "35876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.