Individual provider Active NPI

Charles Kattan, DPM

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1891107918
Registry record updated Dec 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
006745 Issued in NY
Practice address
1409 Gravesend Neck Rd
Brooklyn, NY 11229-4322
Phone
(347) 463-7145
NPI assigned
May 22, 2014
Last updated
Dec 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 006745 NY Primary

Addresses

Primary practice location

1409 Gravesend Neck Rd
Brooklyn, NY 11229-4322

Mailing address

1409 Gravesend Neck Rd
Brooklyn, NY 11229-4322
Phone (347) 463-7145

Other identifiers 1

IdentifierTypeStateIssuer
04640002MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161201000644 NY Practitioner - Podiatry 5890075238 Reassigns benefits to 4 organizations
Practice locations: Brooklyn, NY; Jackson Heights, NY; Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2230 E 13TH St
Brooklyn, NY 11229-4304
Phone (347) 463-7145

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions1-10
Removal of nail tissue1451
Removal or shaving of skin growth425
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006745NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Jul 1, 2020 Accepting new patients
Kattan Podiatry PC CurrentSince Jun 25, 2020 Accepting new patients
Eastern Podiatry PLLC Podiatrist CurrentSince Apr 15, 2017 Accepting new patients
QHC Upstate Medical, P.C. CurrentSince Nov 1, 2019 Accepting new patients
Dr Jay Bienenfeld DPM PLLC Podiatrist PastSince Aug 11, 2020 Accepting new patients
Eastern Podiatry PLLC Podiatrist Past Accepting new patients
Crown Heights Medical, P.C. Past Accepting new patients

Locations

231 S Washington St
Millsboro, DE 19966
Phone (302) 645-4664

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

167 Rutledge St
Brooklyn, NY 11211
Phone (718) 502-9421

2118 Coney Island Ave
Ste 2
Brooklyn, NY 11223
Phone (718) 336-6334

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

4426 18th Ave
Brooklyn, NY 11204
Phone (718) 635-9700

11909 26th Ave
Flushing, NY 11354
Phone (718) 434-0600

1 Greenwich St
Hempstead, NY 11550
Phone (516) 365-1953

19 Prince St
Monticello, NY 12701
Phone (845) 791-8101

314 Bradley Ave
Staten Island, NY 10314
Phone (718) 938-3363

116 Martin Luther King E
Syracuse, NY 13205
Phone (315) 475-1641

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

220 W Post Rd
White Plains, NY 10606
Phone (914) 686-8880

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ckattan@kattan.emadirect.md

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513900800000",
    "number": "1891107918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 GRAVESEND NECK RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294322",
            "telephone_number": "347-463-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 GRAVESEND NECK RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294322",
            "telephone_number": "347-463-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTAN",
        "first_name": "CHARLES",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2017-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04640002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.