Individual provider Active NPI

David Abraham Katz, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Rego Park, NY
National Provider Identifier
1952499089
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006180-1 Issued in NY
Practice address
9811 Queens Blvd
Suite 1a
Rego Park, NY 11374-3323
Phone
(718) 830-0400
NPI assigned
Oct 11, 2006
Last updated
Jun 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N006180-1 NY Primary

Addresses

Primary practice location

9811 Queens Blvd
Suite 1a
Rego Park, NY 11374-3323

Mailing address

1800 E 12TH St Apt 3J
Brooklyn, NY 11229-1061
Phone (718) 998-0079

Other identifiers 1

IdentifierTypeStateIssuer
02886551MedicaidNY

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
I20070601000423 NY Practitioner - Podiatry 4486752219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2511 Ocean Ave
Suite 103
Brooklyn, NY 11229-3963
Phone (347) 885-5323

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue923
Removal or shaving of skin growth909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006180-1NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
David Katz DPM PC Foot & Ankle Surgery CurrentSince Jun 26, 2007 Accepting new patients

Locations

2511 Ocean Ave
Ste 103
Brooklyn, NY 11229
Phone (718) 801-7475

9811 Queens Blvd
Ste 1A
Rego Park, NY 11374
Phone (718) 275-4100

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, 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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1952499089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E 12TH ST APT 3J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291061",
            "telephone_number": "718-998-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 QUEENS BLVD",
            "address_2": "SUITE 1A",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743323",
            "telephone_number": "718-830-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "DAVID",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006180-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02886551",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.