KATHERINE LIETZ (MD PHD) – Advanced Heart Failure and Transplant Cardiology Physician, NPI 1194864157

KATHERINE LIETZ (MD PHD) is a healthcare provider. based in Riverside, Illinois. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD PHD. They hold a License No. 0101252774 (VA). The NPI Number for KATHERINE LIETZ (MD PHD) is 1194864157

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE LIETZ (MD PHD)
NPI
1194864157
Phone
(203) 215-0150
Address
10 E BURLINGTON ST UNIT 3A
Enumeration Date
6 February 2007
Last Update Date
2 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
4486745288
Group Practice PAC ID
9335672146
Professional Enrollment ID
I20231221000291
Address ID
FL339083618FO9981XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

2,521 CARDIOVASCULAR DISEASE (CARDIOLOGY) in FL

Provider Addresses for KATHERINE LIETZ (MD PHD)

  • 10 E BURLINGTON ST UNIT 3A

    RIVERSIDE, IL 605462644

    Phone: (203) 215-0150

    Type: Mailing

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 343-5820

    Fax: (239) 343-4098

    Type: Mailing

  • 9981 S HEALTHPARK DR

    FORT MYERS, FL 339083618

    Phone: (239) 343-5820

    Fax: (239) 343-4098

    Type: Location

  • 2160 S FIRST AVE

    LOYOLA UNIVERSITY MEDICAL CENTER

    MAYWOOD, IL 60153

    Phone: (708) 327-2738

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $631.

Total Amount is formed as General ($631) + Research ($0) + Ownership ($0) = $631.

Last reported payment date: 2024-06-20 • Largest payer in this snapshot: Abbott Laboratories ($248).

Total Amount

$631

General + Research + Ownership

Payments

16

Total payment records

General Amount

$631

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130104000269ICardiovascular Disease (Cardiology)VATBD
I20231221000291ICardiovascular Disease (Cardiology)FLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes8864$0
99214Established patient office or other outpatient visit, 30-39 minutes7768$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6430$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3823$0
94618Test for exercise-induced lung stress3432$0
View full utilization report →

Insurance plans in this area (ZIP 60546)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335672146View full group profile
NameSpecialtyState
R H E U M A T O L O G YFL
Nurse PractitionerFL
Critical Care (Intensivists), Pediatric MedicineFL
General SurgeryMI
N E U R O L O G YMO
Medical Genetics And GenomicsMI
Nurse PractitionerFL
Family PracticeFL
General SurgeryFL
Family PracticeFL

Reviews

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Frequently asked questions

Does KATHERINE LIETZ (MD PHD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KATHERINE LIETZ (MD PHD) uses 1194864157.
Is KATHERINE LIETZ (MD PHD) listed as active for patients and plans?
The listing shows KATHERINE LIETZ (MD PHD) as active in the NPI system.
What is KATHERINE LIETZ (MD PHD)'s primary classification?
Advanced Heart Failure and Transplant Cardiology Physician is the headline specialty for KATHERINE LIETZ (MD PHD) here. Clinical services aligned with this taxonomy classification.
Does KATHERINE LIETZ (MD PHD) list a practice location?
Patients near Riverside, Illinois may find KATHERINE LIETZ (MD PHD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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