Individual provider Active NPI

Barry Stephen Katz, MD

  • Family Medicine Physician
  • Summerville, SC
National Provider Identifier
1942266507
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19100 Issued in SC
Practice address
102 Harth PL
Summerville, SC 29485-8107
Phone
(843) 875-7901
Fax
(843) 832-2038
NPI assigned
Apr 24, 2006
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19100 SC Primary

Addresses

Primary practice location

102 Harth PL
Summerville, SC 29485-8107

Mailing address

102 Harth PL
Summerville, SC 29485-8107
Phone (843) 875-7901

Other identifiers 1

IdentifierTypeStateIssuer
191009MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20031124000122 SC Practitioner - Family Practice 1254235047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liberty Doctors LLCGroup PAC ID 0840466017, 44 clinicians

Practice addresses (Care Compare)

102 Harth PL
Summerville, SC 29485-8107
Phone (843) 875-7901

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network Current Accepting new patients
Liberty Doctors, LLC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Liberty Doctors LLC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Jun 27, 2016 Accepting new patients
Liberty Doctors LLC Past Accepting new patients
Roper Saint Francis Physicians Network Family Medicine PastSince Feb 1, 2021 Accepting new patients

Locations

319 Folly Rd
Charleston, SC 29412
Phone (843) 203-2246

418 Folly Rd
#A
Charleston, SC 29412
Phone (843) 225-8320

8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

102 Harth Pl
Summerville, SC 29485
Phone (843) 832-6425

1525 Trolley Rd
Ste H
Summerville, SC 29485
Phone (843) 212-8080

Interoperability endpoints

  • Direct secure messaging: bkatz@libertydoctors.ssdirect.aprima.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1942266507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HARTH PL",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858107",
            "telephone_number": "843-875-7901",
            "fax_number": "843-832-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HARTH PL",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858107",
            "telephone_number": "843-875-7901",
            "fax_number": "843-832-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "BARRY",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "19100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191009",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.