Individual provider Active NPI

Susan M Schneider, M.D., F.A.C.S.

  • Plastic Surgery Physician
  • Joliet, IL
National Provider Identifier
1083781587
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
036-089059 Issued in IL
Practice address
330 Madison St Ste 104
Joliet, IL 60435
Phone
(815) 725-3440
NPI assigned
Nov 29, 2006
Last updated
Jul 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 036-089059 IL Primary

Addresses

Primary practice location

330 Madison St Ste 104
Joliet, IL 60435

Mailing address

330 Madison St Ste 104
Joliet, IL 60435-6572
Phone (815) 725-3340

Other practice location 1

310 N Hammes Ave Ste 202
Joliet, IL 60435-8146
Phone (815) 730-9900

Other practice location 2

310 N Hammes Ave Ste 202
Joliet, IL 60435-8146
Phone (815) 730-9900

Other practice location 3

410 E Lincoln Hwy Ste 101
New Lenox, IL 60451-1976
Phone (815) 462-5545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110819000147 IN Practitioner - Plastic and Reconstructive Surgery 7911905575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 E 86TH PL
Merrillville, IN 46410-6258

6121 Cleveland St
Merrillville, IN 46410-2302

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
56.64
Promoting interoperability
73
Improvement activities
40
Cost
76.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy22
Melanoma (skin cancer) excision12
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-089059ILMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc CurrentSince Jul 13, 2011 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Jul 13, 2011 Accepting new patients
The Methodist Hospitals, Inc Past Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

101 E 87th Ave
Merrillville, IN 46410
Phone (219) 738-6670

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

6121 Cleveland St
Merrillville, IN 46410
Phone (219) 738-5985

Interoperability endpoints

  • Direct secure messaging: sschneider30375@themethodisthospitals.direct-ci.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 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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1083781587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MADISON ST STE 104",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356572",
            "telephone_number": "815-725-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MADISON ST STE 104",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60435",
            "telephone_number": "815-725-3440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 N Hammes Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604358146",
            "country_code": "US",
            "telephone_number": "815-730-9900",
            "fax_number": "815-730-9940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 N Hammes Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604358146",
            "country_code": "US",
            "telephone_number": "815-730-9900",
            "fax_number": "815-730-9940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 E Lincoln Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "604511976",
            "country_code": "US",
            "telephone_number": "815-462-5545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036-089059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.