Individual provider Active NPI

Michael E Katz, MD

  • Pediatric Radiology Physician
  • Salt Lake City, UT
National Provider Identifier
1861463390
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
6591903-1205 Issued in UT
Practice address
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone
(801) 487-0451
Fax
(801) 487-2467
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X C10008795 DE
Diagnostic Radiology Physician 2085R0202X 84401 FL
Pediatric Radiology Physician 2085P0229X G88982 CA
Pediatric Radiology Physician 2085P0229X DR.0048702 CO
Pediatric Radiology Physician 2085P0229X 6591903-1205 UT Primary

Addresses

Primary practice location

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Mailing address

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone (801) 487-0451

Other practice location 1

21644 State Road 7
West Boca Medical Center - Radiology
Boca Raton, FL 33428-1842
Phone (561) 488-8204

Other practice location 2

13123 E 16th Ave
Aurora, CO 80045-7106
Phone (720) 848-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY, WI, OH, IL, UT, TN, WA8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20051020000063 FL Practitioner - Diagnostic Radiology 6709802671 Reassigns benefits to 4 organizations
I20080514000756 KY Practitioner - Diagnostic RadiologyPractitioner - NeurologyPractitioner - Pain Management 6709802671 Reassigns benefits to 2 organizations
I20090311000515 WI Practitioner - Diagnostic Radiology 6709802671 Reassigns benefits to 1 organization
I20130129000455 OH Practitioner - Diagnostic Radiology 6709802671 Reassigns benefits to 2 organizations
I20220107001132 IL Practitioner - Diagnostic Radiology 6709802671 Reassigns benefits to 1 organization
I20220125001305 UT Practitioner - Diagnostic RadiologyPractitioner - Pediatric MedicinePractitioner - Nuclear Medicine 6709802671 Reassigns benefits to 6 organizations
I20230614003857 TN Practitioner - Diagnostic RadiologyPractitioner - Pediatric Medicine 6709802671 Reassigns benefits to 1 organization
I20260317000155 WA Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 6709802671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine, Pediatric Medicine
Education
Yale University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

Salt Lake City, UT 84113-1103
Phone (801) 487-0451

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G88982CAMDPediatric Radiology Physician
DR.0048702COMDPediatric Radiology Physician
C10008795DEMDPediatric Radiology Physician
6591903-1205UTMDPediatric Radiology Physician
84401FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jan 12, 2024 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
University of Utah Pediatric Services CurrentSince May 1, 2023 Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
University Physicians Incorporated Family Medicine CurrentSince Aug 23, 2024 Accepting new patients
Tellica Imaging, LLC Diagnostic Radiology CurrentSince Sep 5, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 8, 2021 Accepting new patients
Mori Bean and Brooks Inc Pediatric Radiology CurrentSince Oct 1, 2025 Accepting new patients
Norton Children's Medical Group, LLC Pediatric Radiology CurrentSince Mar 1, 2020 Accepting new patients
Tellica Imaging, LLC CurrentSince May 15, 2023 Accepting new patients
The Nemours Foundation Current Accepting new patients
Children's Hospital Medical Center of Akron CurrentSince Nov 7, 2012 Accepting new patients
Kaleida Health CurrentSince Jan 20, 2025 Accepting new patients
The Nemours Foundation CurrentSince Jan 11, 2015 Accepting new patients
Kaleida Health Diagnostic Radiology Current Accepting new patients
Community Medical Associates, Inc. Pediatric Radiology CurrentSince Nov 1, 2007 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 8, 2021 Accepting new patients
University Physicians, Incorporated CurrentSince Aug 23, 2024 Accepting new patients
Children's Hospital Medical Center of Akron Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Nov 1, 2007 Accepting new patients
Tellica Imaging, LLC CurrentSince May 15, 2023 Accepting new patients
University of Utah Pediatric Services Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Nov 9, 2023 Accepting new patients
Medical Center Radiologists Inc Diagnostic Radiology CurrentSince May 19, 2022 Accepting new patients
Ihc Health Services Inc CurrentSince Jan 2, 2022 Accepting new patients
The Nemours Foundation CurrentSince Jan 11, 2015 Accepting new patients
University of Utah Pediatric Services CurrentSince May 1, 2023 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Tellica Imaging - Washington LLC Diagnostic Radiology CurrentSince Jan 31, 2026 Accepting new patients
Children's Hospital Medical Center of Akron CurrentSince Nov 7, 2012 Accepting new patients
Tellica Imaging, LLC CurrentSince Sep 5, 2024 Accepting new patients
Tellica Imaging - Washington LLC Diagnostic Radiology CurrentSince Jan 31, 2026 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 2, 2022 Accepting new patients
Tellica Imaging, LLC CurrentSince May 15, 2023 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Oct 15, 2025 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Aug 1, 2015 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Alpha Diagnostics LLC Past Accepting new patients
Alpha Diagnostics LLC Diagnostic Radiology Past Accepting new patients
Pediatric Subspecialty Faculty, Inc. Past Accepting new patients

Locations (25 of 36)

2315 Stockton Blvd
#5
Sacramento, CA 95817
Phone (916) 703-3050

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

Dept 1061
Denver, CO 80256

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

1600 Rockland Rd
Wilmington, DE 19803

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

2529 Burns Rd
West Palm Beach, FL 33410
Phone (561) 625-4441

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Interoperability endpoints

  • Direct secure messaging: mkatz30599@mlh.direct-ci.com

Organizations & group practices 42

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.

View all 42

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1861463390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MARIO CAPECCHI DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841131103",
            "telephone_number": "801-487-0451",
            "fax_number": "801-487-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MARIO CAPECCHI DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841131103",
            "telephone_number": "801-487-0451",
            "fax_number": "801-487-2467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21644 State Road 7",
            "address_2": "West Boca Medical Center - Radiology",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334281842",
            "country_code": "US",
            "telephone_number": "561-488-8204",
            "fax_number": "561-892-7710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13123 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800457106",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATZ",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "DE",
            "license": "C10008795",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "84401",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "CA",
            "license": "G88982",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "CO",
            "license": "DR.0048702",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "UT",
            "license": "6591903-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.