Individual provider Active NPI

Philip T Schmitt, DO

  • Orthopaedic Surgery Physician
  • Waterford, MI
National Provider Identifier
1144211566
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101011432 Issued in MI
Practice address
4800 Highland Rd
Waterford, MI 48328-1176
Phone
(248) 673-0500
Fax
(248) 673-6077
NPI assigned
Nov 3, 2005
Reactivated
Nov 15, 2018
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101011432 MI Primary

Addresses

Primary practice location

4800 Highland Rd
Waterford, MI 48328-1176

Mailing address

4800 Highland Rd
Waterford, MI 48328-1176
Phone (248) 673-0500

Other practice location 1

1 William Carls Dr
RSC
Commerce Township, MI 48382-2201
Phone (248) 937-4947

Other identifiers 8

IdentifierTypeStateIssuer
5606110001OtherMIADMINISTAR FED DME RSC
3515800 TYPE 11MedicaidMI
PS011432OtherMIBLUE CROSS BLUE SHIELD
5606110003OtherMIADMINISTAR FED DME HARTLAND
C5885OtherMIMCARE
2056303955OtherMIBCBSM PIN
4090042 TYPE 11MedicaidMI
5449487OtherMIAETNA

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
I20110103000137 MI Practitioner - Orthopedic Surgery 9931135167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.97 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
General Orthopedics, PC Orthopaedic Surgery Current Accepting new patients
General Orthopedics, PC Orthopaedic Surgery CurrentSince Nov 7, 2018 Accepting new patients
The Berry Center, LLC PastSince Oct 27, 2005 Accepting new patients
Specialists in Orthopedic Surgery PastSince Nov 28, 2005 Accepting new patients

Locations

4800 Highland Rd
Waterford, MI 48328
Phone (248) 673-0500

Interoperability endpoints

  • Direct secure messaging: pschmitt2@direct.dmc.org

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, 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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1144211566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281176",
            "telephone_number": "248-673-0500",
            "fax_number": "248-673-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281176",
            "telephone_number": "248-673-0500",
            "fax_number": "248-673-6077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 William Carls Dr",
            "address_2": "RSC",
            "address_purpose": "LOCATION",
            "city": "Commerce Township",
            "state": "MI",
            "postal_code": "483822201",
            "country_code": "US",
            "telephone_number": "248-937-4947",
            "fax_number": "248-937-5150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMITT",
        "first_name": "PHILIP",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2019-06-11",
        "deactivation_date": "2018-11-07",
        "reactivation_date": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101011432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR FED DME RSC",
            "identifier": "5606110001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3515800 TYPE 11",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "PS011432",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR FED DME  HARTLAND",
            "identifier": "5606110003",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C5885",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN",
            "identifier": "2056303955",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4090042 TYPE 11",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5449487",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.