Individual provider Active NPI

Jill Schmitt, D.O.

  • Family Medicine Physician
  • Washington TWP, MI
National Provider Identifier
1104056670
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
510108320 Issued in MI
Practice address
64321 Van Dyke Rd
Beaumont Clearwater Family Practice
Washington TWP, MI 48095-2578
Phone
(586) 281-6000
Fax
(586) 281-6001
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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 510108320 MI Primary

Addresses

Primary practice location

64321 Van Dyke Rd
Beaumont Clearwater Family Practice
Washington TWP, MI 48095-2578

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other identifiers 1

IdentifierTypeStateIssuer
080F370780OtherMIBCBSM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcothery13636@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20120809000647 MI Practitioner - Family Practice 8123274982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arcturus Healthcare PLCGroup PAC ID 7012143118, 63 clinicians

Practice addresses (Care Compare)

1701 S Blvd E
Rochester Hills, MI 48307-6116

4600 Investment Dr
Troy, MI 48098-6368
Phone 24826750003025

64321 Van Dyke Rd
Washington TWP, MI 48095-2578
Phone (586) 281-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.58 of 100Reported as group
Quality
82.27
Promoting interoperability
100
Improvement activities
40
Cost
69.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
510108320MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Macomb Oakland Adult Medicine PC Current Accepting new patients
William Beaumont Hospital Current Accepting new patients
Arcturus Healthcare PLC Family Medicine CurrentSince May 1, 2017 Accepting new patients
Arcturus Healthcare PLC Family Medicine CurrentSince May 1, 2017 Accepting new patients
William Beaumont Hospital Family Medicine CurrentSince Jul 31, 2012 Accepting new patients
Oakwood Ambulatory LLC Family Medicine Current Accepting new patients
William Beaumont Hospital CurrentSince Jul 31, 2012 Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

1701 South Blvd E
Ste 290
Rochester Hills, MI 48307
Phone (248) 997-7000

30503 Greenfield Rd
Southfield, MI 48076
Phone (248) 691-4732

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

64321 Van Dyke Rd
Washington Twp, MI 48095
Phone (586) 281-6000

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1104056670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64321 VAN DYKE RD",
            "address_2": "BEAUMONT CLEARWATER FAMILY PRACTICE",
            "city": "WASHINGTON TWP",
            "state": "MI",
            "postal_code": "480952578",
            "telephone_number": "586-281-6000",
            "fax_number": "586-281-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITT",
        "first_name": "JILL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "510108320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "080F370780",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcothery13636@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "64321 Van Dyke Rd",
            "address_2": "Beaumont Clearwater Family Practice",
            "city": "Washington Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480952578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington TWP, MI

Sources for this page

Verify at the official NPI Registry.