Individual provider Active NPI

Kevin E Schmidt, M.D.

  • Adult Medicine Physician
  • Springfield, MA
National Provider Identifier
1043316409
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
MA59192 Issued in MA
Practice address
300 Stafford St
Ste 300
Springfield, MA 01104-3581
Phone
(413) 736-1569
Fax
(413) 746-6066
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X MA59192 MA Primary

Addresses

Primary practice location

300 Stafford St
Ste 300
Springfield, MA 01104-3581

Mailing address

300 Stafford St
Ste 300
Springfield, MA 01104-3581
Phone (413) 736-1569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA59192MAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Inpatient Medical Associates Inc. PastSince Aug 17, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1043316409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STAFFORD ST",
            "address_2": "STE 300",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043581",
            "telephone_number": "413-736-1569",
            "fax_number": "413-746-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STAFFORD ST",
            "address_2": "STE 300",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043581",
            "telephone_number": "413-736-1569",
            "fax_number": "413-746-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "KEVIN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MA",
            "license": "MA59192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.