Individual provider Active NPI

Allan E Katz, M.D.

  • Diagnostic Radiology Physician
  • St Petersburg, FL
National Provider Identifier
1851381719
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME19646 Issued in FL
Practice address
6449 38TH Ave N
Suite C4
St Petersburg, FL 33710-1655
Phone
(727) 381-0275
Fax
(727) 345-8025
NPI assigned
Oct 24, 2005
Last updated
Oct 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME19646 FL Primary

Addresses

Primary practice location

6449 38TH Ave N
Suite C4
St Petersburg, FL 33710-1655

Mailing address

6449 38TH Ave N
Suite C4
St Petersburg, FL 33710-1655
Phone (727) 381-0275

Other identifiers 1

IdentifierTypeStateIssuer
035073700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20111220000799 FL Practitioner - Diagnostic Radiology 6901708262

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME19646FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida United Radiology LC Diagnostic Radiology Current Accepting new patients
Sheridan Radiology Services of Central Florida Inc Diagnostic Radiology Current Accepting new patients
Sheridan Radiology Services of Pinellas, Inc. Diagnostic Radiology Current Accepting new patients
Ultra Imaging of Tampa LLC Diagnostic Radiology Past Accepting new patients
Sheridan Radiology Services of Central Florida, Inc. Diagnostic Radiology Past Accepting new patients
Sheridan Radiology Services of South Florida, Inc. Diagnostic Radiology Past Accepting new patients
Babat, Katz, and Samuelson MDS PA Diagnostic Radiology PastSince Jul 1, 1966 Accepting new patients
West Florida Regional Imaging, P.a. Diagnostic Radiology PastSince Jan 26, 2004 Accepting new patients

Locations

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1851381719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6449 38TH AVE N",
            "address_2": "SUITE C4",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101655",
            "telephone_number": "727-381-0275",
            "fax_number": "727-345-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6449 38TH AVE N",
            "address_2": "SUITE C4",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101655",
            "telephone_number": "727-381-0275",
            "fax_number": "727-345-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "ALLAN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME19646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035073700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.