NPIMap

Individual provider Active NPI

Scott Howard Schneiderman, D.O.

  • Family Medicine Physician
  • Monterey, CA
National Provider Identifier
1073693289
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A5388 Issued in CA
Practice address
835 Cass St
Monterey, CA 93940-2904
Phone
(831) 649-5456
Fax
(831) 649-0550
NPI assigned
Oct 16, 2006
Last updated
Oct 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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 20A5388 CA Primary

Addresses

Primary practice location

835 Cass St
Monterey, CA 93940-2904

Mailing address

835 Cass St
Monterey, CA 93940-2904
Phone (831) 649-5456

Other identifiers 1

IdentifierTypeStateIssuer
00AX53880MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050725000601 CA Practitioner - Family PracticePractitioner - General Practice 0547297210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

835 Cass St
Monterey, CA 93940-2904
Phone (831) 649-5456

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.93 of 100Reported as individual
Quality
59.39
Improvement activities
40
Cost
63.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5388CAMDAcupuncturist
20A5388CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott H Schneiderman DO a Medical Corp CurrentSince Dec 28, 1987 Accepting new patients
Community Hospital of the Monterey Peninsula Past Accepting new patients
Raymond M Shaheen MD Inc Past Accepting new patients

Locations

835 Cass St
Monterey, CA 93940
Phone (831) 649-0350

835 Cass St
#110
Monterey, CA 93940
Phone (408) 649-5456

Interoperability endpoints

  • Direct secure messaging: scott.schneiderman.1@14437.direct.athenahealth.com

Organizations & group practices 3

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 8

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1073693289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 CASS ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402904",
            "telephone_number": "831-649-5456",
            "fax_number": "831-649-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 CASS ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402904",
            "telephone_number": "831-649-5456",
            "fax_number": "831-649-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDERMAN",
        "first_name": "SCOTT",
        "middle_name": "HOWARD",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX53880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.