Individual provider Active NPI

John R Schroder, MD

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1104866003
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35057071S Issued in OH
Practice address
3805 Edwards Rd Ste 130
Cincinnati, OH 45209
Phone
(513) 564-3960
Fax
(513) 564-3961
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35057071S OH Primary

Addresses

Primary practice location

3805 Edwards Rd Ste 130
Cincinnati, OH 45209

Mailing address

3805 Edwards Rd Ste 130
Cincinnati, OH 45209-1960
Phone (513) 564-3960

Other identifiers 1

IdentifierTypeStateIssuer
0942181MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jschroder1776@direct.thechristhospital.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100406000554 OH Practitioner - Internal Medicine 3173659786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Medical Associates, IIIGroup PAC ID 1557547734, 6 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

3805 Edwards Rd
Suite 130
Cincinnati, OH 45209-1960
Phone (513) 564-3960

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

  • Hospice of Cincinnati, Inc Hospice, Cincinnati, OH, CCN 361531
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001
  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016

Merit-based Incentive Payment System (MIPS)

Final score
90.04 of 100Reported as group
Quality
96.17
Promoting interoperability
100
Improvement activities
40
Cost
70.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35057071SOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, III Internal Medicine CurrentSince May 2, 2011 Accepting new patients
University of Cincinnati Physicians Company, LLC Internal Medicine CurrentSince Dec 20, 2009 Accepting new patients
The Christ Hospital Medical Associates, LLC Internal Medicine Past Accepting new patients

Locations

4631 Ridge Ave
#A
Cincinnati, OH 45209
Phone (513) 631-1268

237 William Howard Taft Rd
#23
Cincinnati, OH 45219

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

3805 Edwards Rd
Ste 130
Cincinnati, OH 45209
Phone (513) 564-3960

Organizations & group practices 4

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1104866003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 EDWARDS RD STE 130",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091960",
            "telephone_number": "513-564-3960",
            "fax_number": "513-564-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 EDWARDS RD STE 130",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45209",
            "telephone_number": "513-564-3960",
            "fax_number": "513-564-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRODER",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35057071S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0942181",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jschroder1776@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3805 Edwards Rd Ste 130",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.