Active NPI
Evan Brent Katzel, MD
- Plastic Surgery Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD460898
- Practice address
- 3400 Civic Center Blvd
14TH South
Philadelphia, PA 19104-5127 - Phone
- (215) 662-7659
- NPI assigned
- Jul 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MD460898 | PA | Primary |
Addresses
Primary practice location
3400 Civic Center Blvd
14TH South
Philadelphia, PA 19104-5127
Mailing address
3400 Civic Center Blvd
14TH South
Philadelphia, PA 19104-5127
Phone (215) 662-7659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Rochester School of Medicine and Dentistry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-2096
5 Plainsboro Medical Arts Pavilion Su
Plas Surg Plainsboro
Plainsboro, NJ 08536-1915
Phone (609) 853-7272
Hospital & facility affiliations
- University Medical Center of Princeton at Plainsboro
- St Luke'S Hospital - Grand View Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 16 |
| Melanoma (skin cancer) excision | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, P.C. | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, PC | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, PC | Plastic Surgery | Current | Accepting new patients |
| University of Penn - Medical Group | Past | Accepting new patients |
Locations
3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113
5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536
5 Plainsboro Rd
Ste 275
Plainsboro, NJ 08536
Phone (609) 785-5870
3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
145 King of Prussia Rd
Ste 203
St Davids, PA 19087
Phone (215) 662-8664
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 and National Provider Directory roles.
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Pulmonary Disease Physician
- Cherry Hill, NJ
- NPI 1508019241
-
- Radiation Oncology Physician
- Philadelphia, PA
- NPI 1467840488
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
- Family Medicine Physician
- Cherry Hill, NJ
- NPI 1447260435
-
- Plastic Surgery Physician
- Cherry Hill, NJ
- NPI 1205285574
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1093725145
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sellersville, PA
- NPI 1568459287
-
- General Acute Care Hospital
- Plainsboro, NJ
- NPI 1689714255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1831487735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 CIVIC CENTER BLVD",
"address_2": "14TH SOUTH",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191045127",
"telephone_number": "215-662-7659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 CIVIC CENTER BLVD",
"address_2": "14TH SOUTH",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191045127",
"telephone_number": "215-662-7659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZEL",
"first_name": "EVAN",
"middle_name": "BRENT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-13",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "PA",
"license": "MD460898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.