Individual provider Active NPI

Laurie Ellen Katzman, MD

  • Internal Medicine Physician
  • Chestnut Hill, MA
National Provider Identifier
1881650125
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
50679 Issued in MA
Practice address
25 Boylston St
Suite 312
Chestnut Hill, MA 02467-1715
Phone
(617) 307-3200
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 50679 MA Primary

Addresses

Primary practice location

25 Boylston St
Suite 312
Chestnut Hill, MA 02467-1715

Mailing address

25 Boylston St
Suite 312
Chestnut Hill, MA 02467-1715
Phone (617) 307-3200

Other identifiers 1

IdentifierTypeStateIssuer
331165901OtherMATAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050411000926 MA Practitioner - Internal Medicine 3577500602 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50679MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personalmds, LLC Internal Medicine CurrentSince Sep 1, 2007 Accepting new patients

Locations

25 Boylston St
Ste 312
Chestnut Hill, MA 02467
Phone (617) 307-3200

Organizations & group practices 1

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1881650125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BOYLSTON ST",
            "address_2": "SUITE 312",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671715",
            "telephone_number": "617-307-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BOYLSTON ST",
            "address_2": "SUITE 312",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671715",
            "telephone_number": "617-307-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZMAN",
        "first_name": "LAURIE",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "50679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "331165901",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

Verify at the official NPI Registry.