Individual provider Active NPI

Daniel Katselnik, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Shavano Park, TX
National Provider Identifier
1861674855
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
N1705 Issued in TX
Practice address
4118 Pond Hill Rd BLDG 3
Shavano Park, TX 78231-1281
Phone
(210) 494-3739
Fax
(210) 490-2164
NPI assigned
Nov 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X N1705 TX Primary
Internal Medicine Physician 207R00000X N1705 TX

Addresses

Primary practice location

4118 Pond Hill Rd BLDG 3
Shavano Park, TX 78231-1281

Mailing address

4118 Pond Hill Rd BLDG 3
Shavano Park, TX 78231-1281
Phone (210) 494-3739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101012001293 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 7012109721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Texas Medical School at San Antonio, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Diabetes and Metabolism SpecialistsGroup PAC ID 5496751273, 9 clinicians

Practice addresses (Care Compare)

4118 Pond Hill Rd
Suite 300
Shavano Park, TX 78231-1282
Phone (210) 494-3739

Merit-based Incentive Payment System (MIPS)

Final score
98.34 of 100Reported as group
Quality
96.69
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes and Metabolism Specialists Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2012 Accepting new patients
Dcoa Physicians PA Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

525 Oak Centre Dr
Ste 320
San Antonio, TX 78258
Phone (210) 494-3739

4118 Pond Hill Rd
Ste 300
Shavano Park, TX 78231
Phone (210) 494-3739

4118 Pond Hill Rd
Bldg 3
Shavano Park, TX 78231
Phone (210) 494-3739

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHEADA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1861674855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 POND HILL RD BLDG 3",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311281",
            "telephone_number": "210-494-3739",
            "fax_number": "210-490-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 POND HILL RD BLDG 3",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311281",
            "telephone_number": "210-494-3739",
            "fax_number": "210-490-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSELNIK",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-30",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "N1705",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N1705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shavano Park, TX

Sources for this page

Verify at the official NPI Registry.