Active NPI
Alan Katz, M.D.
- Internal Medicine Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME94342
- 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, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME94342 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PCC Medical Holdings LLC | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Lake Worth, FL
- NPI 1174167993
-
- Point of Service
- Vero Beach, FL
- NPI 1013927029
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mederi Caretenders Hospice
- Community Based Hospice Care Agency
- Viera, FL
- NPI 1740247212
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.