Individual provider Active NPI

Alexandre Myles Katos, PA-C

  • Physician Assistant
  • Lititz, PA
National Provider Identifier
1972052298
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058588 Issued in PA
Practice address
101 W Airport Rd
Lititz, PA 17543-9274
Phone
(717) 466-2445
Fax
(717) 466-2447
NPI assigned
Sep 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA058588 PA Primary
Physician Assistant 363A00000X OA003914 PA

Addresses

Primary practice location

101 W Airport Rd
Lititz, PA 17543-9274

Mailing address

1635 W Main St
Ste 700
Ephrata, PA 17522-8822
Phone (717) 738-0660

Other practice location 1

169 Martin Ave
Ephrata, PA 17522-1724
Phone (717) 738-6420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170320000103 PA Practitioner - Physician Assistant 8224313077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

101 Larkspur LN
Ephrata, PA 17522-8402
Phone (717) 569-5331

1261 Division Hwy
Ephrata, PA 17522-8822

1261 Division Hwy 2
Ephrata, PA 17522-8822
Phone (717) 738-5544

3045 Marietta Ave
Lancaster, PA 17601-1321
Phone (717) 299-4644

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA058588PAMDPhysician Assistant
OA003914PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Jan 27, 2020 Accepting new patients
Ephrata Community Hospital Current Accepting new patients
Ephrata Community Hospital CurrentSince Jan 24, 2017 Accepting new patients
Lancaster General Medical Group CurrentSince Jan 27, 2020 Accepting new patients
Ephrata Community Hospital CurrentSince Jan 24, 2017 Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

1097 Commercial Ave
East Petersburg, PA 17520
Phone (717) 544-1952

99 Masonic Dr
Ste 101
Elizabethtown, PA 17022
Phone (717) 396-9167

1635 W Main St
Ste 700
Ephrata, PA 17522
Phone (717) 738-0660

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

101 Larkspur Ln
Ephrata, PA 17522
Phone (717) 738-0660

1261 Division Hwy
#1
Ephrata, PA 17522
Phone (717) 738-0660

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

2128 Embassy Dr
Lancaster, PA 17603
Phone (717) 509-5090

101 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 291-5991

562 W 2nd Ave
Lititz, PA 17543
Phone (717) 626-2167

51 Peters Rd
Ste 201
Lititz, PA 17543
Phone (717) 544-6260

1001 Cornerstone Dr
#B
Mount Joy, PA 17552
Phone (717) 653-2929

676 E Main St
New Holland, PA 17557
Phone (717) 354-4671

505 Historic Dr
Strasburg, PA 17579
Phone (717) 464-1957

Interoperability endpoints

  • Direct secure messaging: akatos197017@direct-lghealth.org

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 and National Provider Directory roles.

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": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1972052298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 W MAIN ST",
            "address_2": "STE 700",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175228822",
            "telephone_number": "717-738-0660",
            "fax_number": "717-738-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W AIRPORT RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439274",
            "telephone_number": "717-466-2445",
            "fax_number": "717-466-2447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Martin Ave",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221724",
            "country_code": "US",
            "telephone_number": "717-738-6420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATOS",
        "first_name": "ALEXANDRE",
        "middle_name": "MYLES",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-27",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058588",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003914",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lititz, PA

Sources for this page

Verify at the official NPI Registry.