Individual provider Active NPI

Howard Michael Katz, M.D.

  • Pulmonary Disease Physician
  • Bannockburn, IL
National Provider Identifier
1902899032
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036055844 Issued in IL
Practice address
2151 Waukegan Rd
Suite 110
Bannockburn, IL 60015-1885
Phone
(847) 236-1300
Fax
(847) 236-9549
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036055844 IL
Pulmonary Disease Physician 207RP1001X 036055844 IL Primary

Addresses

Primary practice location

2151 Waukegan Rd
Suite 110
Bannockburn, IL 60015-1885

Mailing address

2151 Waukegan Rd
Suite 110
Bannockburn, IL 60015-1885
Phone (847) 236-1300

Other identifiers 2

IdentifierTypeStateIssuer
036055844MedicaidIL
36-3200051OtherILFEIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hkatz11611@direct.northshore.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050825000123 IL Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 4183664766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
R Franklin University of Med & Sci/Chicago Medical School, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2151 Waukegan Rd
Bannockburn, IL 60015-1857

2650 Ridge Ave
Evanston, IL 60201-1700

51 Waukegan Rd
Suite 100
Bannockburn, IL 60015-1857
Phone (908) 219-7678

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Jun 28, 2011 Accepting new patients
Endeavor Health Medical Group CurrentSince Jun 28, 2011 Accepting new patients
Pulmonary Physicians of the North Shore LTD Critical Care Medicine PastSince Jul 1, 1987 Accepting new patients

Locations

2151 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 236-1300

2151 Waukegan Rd
Bannockburn, IL 60015
Phone (847) 236-1300

9532 Eagle Way
Chicago, IL 60678

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

9669 Kenton Ave
Ste 308
Skokie, IL 60076
Phone (847) 236-1300

Interoperability endpoints

  • Direct secure messaging: hkatz11611@direct.northshore.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1902899032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 WAUKEGAN RD",
            "address_2": "SUITE 110",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151885",
            "telephone_number": "847-236-1300",
            "fax_number": "847-236-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 WAUKEGAN RD",
            "address_2": "SUITE 110",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151885",
            "telephone_number": "847-236-1300",
            "fax_number": "847-236-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "HOWARD",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036055844",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036055844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055844",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "36-3200051",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hkatz11611@direct.northshore.org",
            "affiliation": "N",
            "address_1": "2151 Waukegan Rd",
            "address_2": "Suite 110",
            "city": "Bannockburn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600151885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bannockburn, IL

Sources for this page

Verify at the official NPI Registry.