NPIMap

Individual provider Active NPI

Jacob Schultz

  • Family Medicine Physician
  • Pickerington, OH
National Provider Identifier
1063031987
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.146952 Issued in OH
Practice address
641 Hill Rd N
Pickerington, OH 43147-9346
Phone
(614) 627-1380
Fax
(614) 833-6767
NPI assigned
Apr 10, 2020
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.146952 OH Primary

Addresses

Primary practice location

641 Hill Rd N
Pickerington, OH 43147-9346

Mailing address

641 Hill Rd N
Pickerington, OH 43147-9346
Phone (614) 627-1380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230829003606 OH Practitioner - Family Practice 6002231826 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Toledo College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians
Mount Carmel Urgent CareGroup PAC ID 4688087497, 10 clinicians

Practice addresses (Care Compare)

641 Hill Rd N
Suite a
Pickerington, OH 43147-9346
Phone (614) 627-1380

6599 E Broad St
Columbus, OH 43213-1509
Phone (614) 986-7752

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.146952OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Inc Family Medicine CurrentSince Jul 31, 2023 Accepting new patients
Mount Carmel Urgent Care CurrentSince Oct 28, 2024 Accepting new patients
Mount Carmel Health System Family Medicine CurrentSince Jul 20, 2025 Accepting new patients
Mount Carmel Urgent Care CurrentSince Oct 28, 2024 Accepting new patients
Mount Carmel Health System CurrentSince Jul 20, 2025 Accepting new patients
Mount Carmel Health Providers Inc Family Medicine CurrentSince Jul 31, 2023 Accepting new patients

Locations

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

6599 E Broad St
Columbus, OH 43213
Phone (614) 355-8150

3000 Meadow Pond Ct
Ste 200
Grove City, OH 43123
Phone (614) 871-7130

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

641 Hill Rd N
Pickerington, OH 43147
Phone (614) 833-6001

641 Hill Rd N
Ste A
Pickerington, OH 43147
Phone (614) 627-1380

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

Interoperability endpoints

  • Direct secure messaging: jschultz1155114@direct.trinity-health.org

Organizations & group practices 6

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1063031987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479346",
            "telephone_number": "614-627-1380",
            "fax_number": "614-833-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479346",
            "telephone_number": "614-627-1380",
            "fax_number": "614-833-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.146952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.