Individual provider Active NPI

Alan Katz, M.D.

  • Internal Medicine Physician
  • Melbourne, FL
National Provider Identifier
1861489023
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME94342 Issued in FL
Practice address
4100 W New Haven Ave Ste a
Melbourne, FL 32904-1703
Phone
(321) 340-7165
Fax
(321) 340-5362
NPI assigned
Oct 4, 2005
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME94342 FL
Internal Medicine Physician 207R00000X ME94342 FL Primary

Addresses

Primary practice location

4100 W New Haven Ave Ste a
Melbourne, FL 32904-1703

Mailing address

4100 W New Haven Ave Ste a
Melbourne, FL 32904-1703
Phone (321) 340-7165

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
I20060126000305 FL Practitioner - Geriatric Medicine 9234143504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PCC Medical Holdings LLCGroup PAC ID 0446679468, 27 clinicians

Practice addresses (Care Compare)

1140 S Semoran Blvd E
PCC of Semoran
Orlando, FL 32807-1459
Phone (407) 384-9165

2911 N Military TRL D
PCC of West Palm
West Palm Beach, FL 33409-2922
Phone (561) 478-8825

4100 W New Haven Ave a
PCC of Melbourne
Melbourne, FL 32904-1703
Phone (321) 340-7165

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME94342FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PCC Medical Holdings LLC Internal Medicine CurrentSince Jan 31, 2023 Accepting new patients
Medical Resources, LLC Past Accepting new patients

Locations

4100 W New Haven Ave
Melbourne, FL 32904

4100 W New Haven Ave
Ste A
Melbourne, FL 32904
Phone (321) 340-7165

1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165

1732 S Congress Ave
Palm Springs, FL 33461
Phone (561) 385-0731

1960 Pointe West Dr
Ste 201
Vero Beach, FL 32966
Phone (772) 226-4260

2911 N Military Trl
Ste D
West Palm Beach, FL 33409
Phone (561) 478-8825

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: alan.katz.1@32578.direct.athenahealth.com

Organizations & group practices 2

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 3

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1861489023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W NEW HAVEN AVE STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041703",
            "telephone_number": "321-340-7165",
            "fax_number": "321-340-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W NEW HAVEN AVE STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041703",
            "telephone_number": "321-340-7165",
            "fax_number": "321-340-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME94342",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME94342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.