MICHAEL J. KATIN MD NPI 1811994999

NPI Information

NPI: 1811994999
Provider Name: MICHAEL J. KATIN, MD
Classification: Radiology - 2085R0203X
Entity Type: Individual

Specialization: Therapeutic Radiology

PECOS Registration: Yes

CLIA Number: 10D2123718

Address:
15681 NEW HAMPSHIRE CT
FORT MYERS, FL
ZIP 33908
Phone: (239) 437-1977
Get Directions

Michael J. Katin, MD is a therapeutic radiology radiology in Fort Myers, FL. Michael J. Katin, MD NPI is 1811994999. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15681 NEW HAMPSHIRE CT
FORT MYERS, FL
ZIP 33908-123
Phone: (239) 437-1977
Fax: (239) 437-1889

The NPI 1811994999 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 10D2123718 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/5/2005 and was last updated on 7/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	127667-1	NEW YORK	No
2	2085R0001X	Radiology	Radiation Oncology	2001-01567	NORTH CAROLINA	No
3	2085R0001X	Radiology	Radiation Oncology	ME0026427	FLORIDA	No
4	2085R0001X	Radiology	Radiation Oncology	G26661	CALIFORNIA	No
5	2085R0001X	Radiology	Radiation Oncology	4877	NEVADA	No
6	2085R0203X	Radiology	Therapeutic Radiology	ME26427	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01738807	MEDICAID	NEW YORK
2	592485899	OTHER	FLORIDA	METCARE VENDOR ID #
3	MB505	OTHER	FLORIDA	MEDICARE
4	4129712	OTHER	FLORIDA	AETNA PROVIDER NUMBER
5	065594500	MEDICAID	FLORIDA
6	205786	OTHER	FLORIDA	AVMED PROVIDER NUMBER
7	00787	OTHER	FLORIDA	UNV. HLTHCR. PROVIDER #
8	00G26610	MEDICAID	CALIFORNIA
9	0916153-016	OTHER	FLORIDA	CIGNA PROVIDER NUMBER
10	24-05164	OTHER	FLORIDA	UTD. HLTHCR. PROVIDER #
11	2019966	MEDICAID	NEVADA
12	76715	OTHER	FLORIDA	OP. ENG. LOC. 825 PROV. #
13	MB506	OTHER	FLORIDA	MEDICARE
14	985684	OTHER	FLORIDA	WELLCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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