Individual provider Active NPI

Peter K Schauer, M.D.

  • Medical Oncology Physician
  • Hartford, CT
National Provider Identifier
1063454759
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
018095 Issued in CT
Practice address
85 Retreat Ave
Hartford, CT 06106-2527
Phone
(860) 249-6291
Fax
(860) 728-0151
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 018095 CT Primary

Addresses

Primary practice location

85 Retreat Ave
Hartford, CT 06106-2527

Mailing address

85 Retreat Ave
Hartford, CT 06106-2527
Phone (860) 249-6291

Other identifiers 1

IdentifierTypeStateIssuer
001180959MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050804000394 CT Practitioner - Medical OncologyPractitioner - Internal Medicine 7315976933 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018095CTMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Jan 1, 2017 Accepting new patients
Hartford Pathology Associates, P.C. Current Accepting new patients
Hartford Hospital CurrentSince Jan 1, 2017 Accepting new patients
Hartford Hospital CurrentSince Jan 1, 2017 Accepting new patients
Windham Community Memorial Hospital, Inc. CurrentSince Dec 1, 2016 Accepting new patients

Locations

85 Retreat Ave
Hartford, CT 06106
Phone (860) 249-6291

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

Organizations & group practices 5

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1063454759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 RETREAT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062527",
            "telephone_number": "860-249-6291",
            "fax_number": "860-728-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 RETREAT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062527",
            "telephone_number": "860-249-6291",
            "fax_number": "860-728-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAUER",
        "first_name": "PETER",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CT",
            "license": "018095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001180959",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.