Individual provider Active NPI

Robert D. Schwartz, DPM

  • Podiatrist
  • Bridgeport, CT
National Provider Identifier
1083757678
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000706 Issued in CT
Practice address
2320 Main St
Bridgeport, CT 06606-5373
Phone
(203) 366-4506
Fax
(203) 384-2908
NPI assigned
Feb 14, 2007
Last updated
Jul 31, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000706 CT Primary

Addresses

Primary practice location

2320 Main St
Bridgeport, CT 06606-5373

Mailing address

35 Summer LN
North Haven, CT 06473-3574

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111117000323 CT Practitioner - Podiatry 8527267095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2320 Main St
Bridgeport, CT 06606-5373
Phone (203) 366-4506

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue53
Removal of nail tissue1-10
Removal or shaving of skin growth43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
000706CTMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Footcare Associates LLC CurrentSince Dec 1, 1998 Accepting new patients

Locations

2320 Main St
Bridgeport, CT 06606
Phone (203) 366-4506

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1083757678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SUMMER LN",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065373",
            "telephone_number": "203-366-4506",
            "fax_number": "203-384-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "ROBERT",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.