ETHAN WILLIAM KATZ
NPI 1730037664
Student in an Organized Health Care Education/Training Program in Chicago, IL
About Ethan William Katz NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN WILLIAM KATZ (NPI 1730037664) is an individual student in an organized health care education/training program in Chicago, Illinois, licensed in Illinois (019.037257) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ethan William Katz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60612
CHICAGO, IL 60612
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ethan Katz's NPI number?
The NPI number for Ethan Katz is 1730037664. It was assigned to this individual provider in the NPPES registry on March 17, 2026.
Where is Ethan Katz located?
Ethan Katz practices at 801 S Paulina St Rm 110, Chicago, IL 60612. The listed phone number is (312) 996-1052.
What is Ethan Katz's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Ethan Katz enrolled in Medicare?
Yes. Ethan Katz is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ethan Katz was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ethan William Katz · NPI 1730037664
Student in an Organized Health Care Education/Training Program provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since March 17, 2026.
## Identity
- **NPI:** 1730037664 (Entity type: Individual)
- **Enumerated:** March 17, 2026
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 019.037257 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 S PAULINA ST RM 110, Chicago, IL 60612-7210
- **Phone:** (312) 996-1052
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** June 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1730037664) · Data from the CMS NPPES public registry.