Individual provider Active NPI

Andres U Katz, MD

  • Family Medicine Physician
  • Rockwall, TX
National Provider Identifier
1851313381
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E4443 Issued in TX
Practice address
103 N 1St St
Rockwall, TX 75087-3033
Phone
(972) 771-5366
Fax
(972) 771-0424
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X E4443 TX
Vascular & Interventional Radiology Physician 2085R0204X E4443 TX
Diagnostic Ultrasound Physician 2085U0001X E4443 TX
Surgery Physician 208600000X E4443 TX
Vascular Surgery Physician 2086S0129X E4443 TX
Family Medicine Physician 207Q00000X E4443 TX Primary

Addresses

Primary practice location

103 N 1St St
Rockwall, TX 75087-3033

Mailing address

103 N 1St St
Rockwall, TX 75087-3033
Phone (972) 771-5366

Other identifiers 1

IdentifierTypeStateIssuer
E4443OtherTXTEXAS MEDICAL LICENSE

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
E4443TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sparks Clinic PA Family Medicine CurrentSince Oct 31, 2021 Accepting new patients
Austin & Reddick Dermatology, PLLC PastSince Jun 27, 2016 Accepting new patients
Physicians Interpretive Services Past Accepting new patients

Locations

103 N 1st St
Rockwall, TX 75087
Phone (972) 463-1253

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00023

Organizations & group practices 3

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1851313381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N 1ST ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750873033",
            "telephone_number": "972-771-5366",
            "fax_number": "972-771-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N 1ST ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750873033",
            "telephone_number": "972-771-5366",
            "fax_number": "972-771-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "ANDRES",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "E4443",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "E4443",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "TX",
            "license": "E4443",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "E4443",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "E4443",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E4443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "E4443",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.