NPIMap

Individual provider Active NPI

Dennie L Schultheis, MD

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1093713240
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A60337 Issued in CA
Practice address
3946 Norwood Ave
Sacramento, CA 95838-3300
Phone
(916) 737-5555
Fax
(877) 860-2907
NPI assigned
Jul 12, 2005
Last updated
Dec 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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 A60337 CA Primary

Addresses

Primary practice location

3946 Norwood Ave
Sacramento, CA 95838-3300

Mailing address

712 Turnstone Dr
Sacramento, CA 95834-1508
Phone (707) 845-1846

Other identifiers 1

IdentifierTypeStateIssuer
00A603370MedicaidCA

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
I20040319001562 CA Practitioner - Family Practice 2062303167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Davis School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspace HealthGroup PAC ID 8426157975, 29 clinicians

Practice addresses (Care Compare)

3415 Martin Luther King Jr Blvd
Sacramento, CA 95817-3648
Phone (916) 233-4910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60337CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspace Health CurrentSince Nov 17, 2019 Accepting new patients
Wellspace Health Current Accepting new patients
Wellspace Health CurrentSince Nov 17, 2019 Accepting new patients
California State Polytechnic University, Humboldt Past Accepting new patients
Wellspace Health Past Accepting new patients
Six Rivers Emergency Physicians Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Humboldt State University Past Accepting new patients
Wellspace Health Past Accepting new patients

Locations

1820 J St
Sacramento, CA 95811
Phone (916) 550-5481

2425 Alhambra Blvd
Sacramento, CA 95817
Phone (916) 313-8400

2433 Marconi Ave
Sacramento, CA 95821
Phone (916) 313-8455

3415 Martin Luther King Jr Blvd
Sacramento, CA 95817
Phone (916) 233-4910

3946 Norwood Ave
Sacramento, CA 95838
Phone (916) 561-5925

777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690

Interoperability endpoints

  • Direct secure messaging: dennie.schultheis.p1@direct.wellspacehealth.nextgenshare.com
  • Direct secure messaging: dschultheis769577@direct.ochin.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sacramento Native American Health Center IncSacramento, CA, CCN 051094 Federally qualified health center Corporate Director Feb 25, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1093713240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 TURNSTONE DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341508",
            "telephone_number": "707-845-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3946 NORWOOD AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958383300",
            "telephone_number": "916-737-5555",
            "fax_number": "877-860-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTHEIS",
        "first_name": "DENNIE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A60337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A603370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.