Individual provider Active NPI

Jonathan M Schwartz, MD

  • Internal Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1104994631
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301073836 Issued in MI
Practice address
1500 E Medical Center Drive
3Rd Floor Taubman Center Recp B
Ann Arbor, MI 48109-5352
Phone
(734) 936-5582
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11106A WY
Internal Medicine Physician 207R00000X 4301073836 MI Primary

Addresses

Primary practice location

1500 E Medical Center Drive
3Rd Floor Taubman Center Recp B
Ann Arbor, MI 48109-5352

Mailing address

3621 S State St.
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047

Other practice location 1

1200 College Dr
Rock Springs, WY 82901-5868
Phone (307) 362-3711

Other identifiers 4

IdentifierTypeStateIssuer
444873910MedicaidMI
JS073836OtherCHAMPUS-CHAMPUS
JS073836OtherCOMMERCIAL-COMMERCIAL NUMBER
700H262220OtherBLUE CROSS-BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WY, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100510000174 MI Practitioner - Internal Medicine 3779611975 Reassigns benefits to 3 organizations
I20180212001798 WY Practitioner - Internal Medicine 3779611975 Reassigns benefits to 2 organizations
I20181114000902 OH Practitioner - HospitalistPractitioner - Internal Medicine 3779611975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians
Mercy Hospitalists, PLLCGroup PAC ID 8921338237, 27 clinicians

Practice addresses (Care Compare)

1447 N Harrison St
Hospitalist and Critical Care
Saginaw, MI 48602-4727
Phone (989) 583-4220

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 338-5645

Hospital & facility affiliations

  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc. Current Accepting new patients
Ashtabula County Medical Center CurrentSince Mar 17, 2019 Accepting new patients
University Physician Group Internal Medicine CurrentSince May 15, 2019 Accepting new patients
Riverton Physician Practices LLC CurrentSince Dec 26, 2017 Accepting new patients
Covenant Medical Center, Inc. Internal Medicine CurrentSince Apr 19, 2021 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Dec 7, 2018 Accepting new patients
Covenant Medical Center, Inc Internal Medicine CurrentSince Apr 19, 2021 Accepting new patients
Mercy Hospitalists, PLLC Internal Medicine CurrentSince Mar 1, 2026 Accepting new patients
Riverton Physician Practices, LLC Current Accepting new patients
Lander Valley Physician Practices, LLC Internal Medicine Past Accepting new patients
Covenant Medical Center, Inc. Past Accepting new patients

Locations

10 W Square Lake Rd
Ste 103
Bloomfld Hls, MI 48302
Phone (248) 283-4000

4201 Saint Antoine St
#5A
Detroit, MI 48201

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

4201 Saint Antoine St
Ste 5A
Detroit, MI 48201
Phone (313) 966-2492

50 E Canfield St
Ste 100
Detroit, MI 48201
Phone (313) 966-0573

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1005 College View Dr
Riverton, WY 82501
Phone (307) 857-3486

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

Interoperability endpoints

  • Direct secure messaging: jschwartz799120@direct.gundersenhealth.org
  • Direct secure messaging: jschwartz99775@direct.covenanthealthcare.com

Organizations & group practices 11

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 2

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1104994631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST.",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DRIVE",
            "address_2": "3RD FLOOR TAUBMAN CENTER RECP B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095352",
            "telephone_number": "734-936-5582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 College Dr",
            "address_purpose": "LOCATION",
            "city": "Rock Springs",
            "state": "WY",
            "postal_code": "829015868",
            "country_code": "US",
            "telephone_number": "307-362-3711",
            "fax_number": "307-352-8530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "11106A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301073836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444873910",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS-CHAMPUS",
            "identifier": "JS073836",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL-COMMERCIAL NUMBER",
            "identifier": "JS073836",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE CROSS",
            "identifier": "700H262220",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.