Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306814660 Individual Practitioner Male Practitioner

Dr. Kerry L Katlic , MD

Pediatrics • Penfield, NY

Professional Overview & Biography Verified Profile Summary

Dr. Kerry Katlic, MD is a registered healthcare professional specializing in Pediatrics in Penfield, NY. Practice services are available at 2067 FAIRPORT NINE MILE PT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2067 Fairport Nine Mile Pt Rd

Penfield, NY 145261753

Telephone 5859220460
Fax 5859220470
Associated Practice Facility / Clinic
🏢 Hear For You Facility NPI 1619196193

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Penfield, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
8 Specialists

Practicing in Penfield, NY (6127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 146679

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00762047 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1477510998

Doctor of Medicine (M.D.)

NPI 1497723282

Doctor of Medicine (M.D.)

NPI 1508442625

Doctor of Osteopathic Medicine (D.O.)

NPI 1669484911

Doctor of Medicine (M.D.)

NPI 1689761454

Doctor of Medicine (M.D.)

Claire Bollin

Nurse Practitioner - Family

NPI 1710702113

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 12, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 12, 2011

Registered at 2067 FAIRPORT NINE MILE PT RD, PENFIELD, NY 145261753 (Tel: 5859220460)

📍
Updated Business Mailing Address May 12, 2011

Registered at 2067 FAIRPORT NINE MILE PT RD, PENFIELD, NY 145261753 (Tel: 5859220460)

👤
Provider Name / Credentials Updated May 12, 2011

Recorded as KERRY KATLIC, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2011

Pediatrics (License #146679 in NY)

🟢
Initial NPI Registration & Enumeration March 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306814660
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2006
Last Update: May 12, 2011
Sole Proprietor: No

Mailing Address

2067 Fairport Nine Mile Pt Rd

Penfield, NY 145261753

Phone: 5859220460

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.