DR. JAKE KATZMAN (DO) – Neurology Physician, NPI 1104448372

DR. JAKE KATZMAN (DO) is a healthcare provider. based in Riverview, Michigan. specializing in NEUROLOGY. They hold the professional credentials DO. They hold a License No. 5151014315 (MI). The NPI Number for DR. JAKE KATZMAN (DO) is 1104448372

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAKE KATZMAN (DO)
NPI
1104448372
Phone
(248) 553-0010
Address
14750 King Rd
Enumeration Date
11 May 2020
Last Update Date
6 March 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2485530010
Graduation Year
2020 (6 years ago)
PAC ID
3274954219
Group Practice PAC ID
5294778833
Professional Enrollment ID
I20240522000485
Address ID
MI483342979FA28595RDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

965 NEUROLOGY in MI

Provider Addresses for DR. JAKE KATZMAN (DO)

  • 14750 King Rd

    Riverview, MI 481937973

    Phone: (248) 553-0010

    Fax: (248) 553-5957

    Type: Location

  • 28595 Orchard Lake Rd Ste 200

    Farmington Hills, MI 483342979

    Phone: (248) 553-0010

    Fax: (248) 553-5957

    Type: Location

  • 25325 DEVON LN

    FRANKLIN, MI 480251285

    Phone: (248) 207-1036

    Type: Mailing

  • 28050 GRAND RIVER AVE

    FARMINGTON HILLS, MI 483365919

    Phone: (248) 471-8000

    Type: Location

  • 25150 FORD RD STE 100

    DEARBORN HEIGHTS, MI 481273163

    Phone: (248) 553-0010

    Fax: (248) 553-5957

    Type: Location

  • 28595 ORCHARD LAKE RD STE 200

    FARMINGTON HILLS, MI 483342979

    Phone: (248) 553-0010

    Fax: (248) 553-5957

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $947.

Total Amount is formed as General ($947) + Research ($0) + Ownership ($0) = $947.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: CeQur Corporation ($157).

Total Amount

$947

General + Research + Ownership

Payments

17

Total payment records

General Amount

$947

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2024-05-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240522000485INeurologyMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48193)

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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: 5294778833View full group profile
NameSpecialtyState
Nurse PractitionerMI
N E U R O L O G YMI
N E U R O L O G YMI
Diagnostic RadiologyMI
N E U R O L O G YMI
N E U R O L O G YMI
Anesthesiology, Pain ManagementMI
Physician AssistantMI
N E U R O L O G YMI
N E U R O L O G YMI

Reviews

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Frequently asked questions

Where can patients find DR. JAKE KATZMAN (DO)'s NPI?
You can confirm DR. JAKE KATZMAN (DO) with NPI 1104448372; it appears in the national provider directory.
Is DR. JAKE KATZMAN (DO) currently active in the NPI registry?
CMS-published data lists DR. JAKE KATZMAN (DO) as an active registrant.
What field does DR. JAKE KATZMAN (DO) work in?
You can think of DR. JAKE KATZMAN (DO) as practicing within Neurology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. JAKE KATZMAN (DO)?
We surface Riverview, Michigan for DR. JAKE KATZMAN (DO) based on available NPPES addresses.
What if Riverview, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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