Active NPI
Mark E. Schakel II, M.D.
- Orthopaedic Surgery Physician
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A43400
- Practice address
- 1405 Montgomery Dr
Santa Rosa, CA 95405-4557 - Phone
- (707) 546-1922
- Fax
- (707) 546-1897
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | A43400 | CA | |
| Orthopaedic Surgery Physician | 207X00000X | A43400 | CA | Primary |
Addresses
Primary practice location
1405 Montgomery Dr
Santa Rosa, CA 95405-4557
Mailing address
1405 Montgomery Dr
Santa Rosa, CA 95405-4557
Phone (707) 546-1922
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A434000 | Medicaid | CA | |
| A43400 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.9 of 100
- Quality
- 81.89
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 68.05 of 100
- Quality
- 62.72
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 77.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A43400 | CA | MD | Orthopaedic Foot and Ankle Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Rosa Orthopaedic Medical Group, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Santa Rosa Orthopaedic Medical Group, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients | |
| Santa Rosa Trauma Physicians Medical Group | Orthopaedic Surgery | Past | Accepting new patients |
Locations
167 Lynch Creek Way
Petaluma, CA 94954
Phone (707) 324-3241
1405 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 546-1922
34 Mark West Springs Rd
Ste 300
Santa Rosa, CA 95403
Phone 7075461922 ext. 5453
131 Stony Cir
Ste 2000
Santa Rosa, CA 95401
Phone (707) 542-4704
Interoperability endpoints
- mschakeliimd53337@hisp.ehr.sutterhealth.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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Santa Rosa, CA
- NPI 1518907336
-
- Orthopaedic Surgery Physician
- Petaluma, CA
- NPI 1891450920
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Trauma Surgery Physician
- Santa Rosa, CA
- NPI 1184673162
Orthopaedic Surgery
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1083657654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 MONTGOMERY DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054557",
"telephone_number": "707-546-1922",
"fax_number": "707-546-1897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 MONTGOMERY DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054557",
"telephone_number": "707-546-1922",
"fax_number": "707-546-1897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAKEL",
"first_name": "MARK",
"middle_name": "E.",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "CA",
"license": "A43400",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A43400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A434000",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "A43400",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.