Individual provider Active NPI

Jeffrey Lee Katz, MD

  • Family Medicine Physician
  • Beaverton, OR
National Provider Identifier
1992757264
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
68370 Issued in MN
Practice address
Beaverton Medical Office
4855 SW Western Ave
Beaverton, OR 97005-3460
Phone
(971) 217-7506
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD24537 OR
Family Medicine Physician 207Q00000X 68370 MN Primary

Addresses

Primary practice location

Beaverton Medical Office
4855 SW Western Ave
Beaverton, OR 97005-3460

Mailing address

12096 NW Hallbrook LN
Portland, OR 97229-8428
Phone (503) 208-4116

Other identifiers 2

IdentifierTypeStateIssuer
227399MedicaidOR
P00061508OtherRR PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NC, MS, LA, WA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20240822002254 OR Practitioner - Family Practice 4082672985 Reassigns benefits to 1 organization
I20241112000338 NC Practitioner - Family Practice 4082672985 Reassigns benefits to 1 organization
I20241212004197 MS Practitioner - Family Practice 4082672985 Reassigns benefits to 1 organization
I20241212004288 LA Practitioner - Family Practice 4082672985 Reassigns benefits to 1 organization
I20250304002890 WA Practitioner - Family Practice 4082672985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14406 NE 20TH Ave
Vancouver, WA 98686-1448
Phone (800) 813-2000

4855 SW Western Ave
Beaverton, OR 97005-3460
Phone (800) 813-2000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince Mar 3, 2025 Accepting new patients
Deaconess Specialty Physicians, Inc Current Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 28, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince Mar 3, 2025 Accepting new patients
Deaconess Specialty Physicians Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 28, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Mar 3, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 9, 2024 Accepting new patients
Carolinas Physicians Network, Inc Family Medicine CurrentSince Sep 9, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Ochsner Mississippi, LLC CurrentSince Oct 28, 2024 Accepting new patients
Allina Health System Family Medicine Current Accepting new patients
Deaconess Specialty Physicians Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Oct 28, 2024 Accepting new patients
Wonderful Medical Group PC Family Medicine PastSince Feb 1, 2021 Accepting new patients
Cloud Health Medical Group of California, P.C. Family Medicine Past Accepting new patients
Wenatchee Valley Hospital PastSince Jan 1, 2023 Accepting new patients
Pacific Medical Group, PC Past Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4015 Gateway Blvd
Ste 2120
Newburgh, IN 47630
Phone (812) 492-5457

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

10620 Park Rd
Ste 202
Charlotte, NC 28210
Phone (704) 512-3988

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

4855 SW Western Ave
Beaverton, OR 97005
Phone (503) 626-4148

4855 SW Western Ave
Ofc
Beaverton, OR 97005
Phone (503) 643-7565

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

500 NE Multnomah St
Ste 100
Portland, OR 97232
Phone (503) 499-5200

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

14406 NE 20th Ave
Vancouver, WA 98686
Phone (360) 418-6001

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61288
  • FHIR API: https://api.platform.athenahealth.com/22864/brand/1/csg/1/fhir/r4

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1992757264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12096 NW HALLBROOK LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972298428",
            "telephone_number": "503-208-4116",
            "fax_number": "503-213-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEAVERTON MEDICAL OFFICE",
            "address_2": "4855 SW WESTERN AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053460",
            "telephone_number": "971-217-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD24537",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "68370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227399",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR PIN",
            "identifier": "P00061508",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.