Individual provider Active NPI

Eric E Schultz, DPM

  • Podiatrist
  • Boston, MA
National Provider Identifier
1083690705
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2014 Issued in MA
Practice address
332 Hanover St
Boston, MA 02113-1901
Phone
(617) 643-8100
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2014 MA Primary

Addresses

Primary practice location

332 Hanover St
Boston, MA 02113-1901

Mailing address

332 Hanover St
Boston, MA 02113-1901
Phone (617) 643-8100

Other identifiers 1

IdentifierTypeStateIssuer
0326704MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031210000082 MA Practitioner - Podiatry 1557267655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Group practices
North End Community Health Committee, Inc.Group PAC ID 8224043971, 56 clinicians

Practice addresses (Care Compare)

332 Hanover St
Boston, MA 02113-1901
Phone (617) 643-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
North End Community Health Committee Inc CurrentSince Apr 1, 2013 Accepting new patients
Hearusa Inc Past Accepting new patients

Locations

332 Hanover St
Boston, MA 02113
Phone (617) 643-8000

Interoperability endpoints

  • Direct secure messaging: schultz.eric@elincdirect.org

Organizations & group practices 2

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 1

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1083690705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 HANOVER ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021131901",
            "telephone_number": "617-643-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 HANOVER ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021131901",
            "telephone_number": "617-643-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "ERIC",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0326704",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.