Individual provider Active NPI

Ilya Schwartzman, MD

  • Family Medicine Physician
  • Columbus, IN
National Provider Identifier
1144252552
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01037683 Issued in IN
Practice address
3581 Central Ave
Columbus, IN 47203-2036
Phone
(812) 376-9601
Fax
(812) 378-8518
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01037683A IN
Family Medicine Physician 207Q00000X 01037683 IN Primary

Addresses

Primary practice location

3581 Central Ave
Columbus, IN 47203-2036

Mailing address

PO Box 775383
Chicago, IL 60677-5383
Phone (812) 376-5315

Other identifiers 7

IdentifierTypeStateIssuer
003944OtherSIHO
100083410AMedicaidIN
000000089434OtherINANTHEM
000000990927OtherINANTHEM PIN
100083410MedicaidIN
351896225100OtherINCARESOURCE
351896225OtherCOMMERCIAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ischwartzman7630@edirect.crh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070517000341 IN Practitioner - Family Practice 9739286220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Regional Health Physicians LLCGroup PAC ID 1052612314, 216 clinicians

Practice addresses (Care Compare)

2400 17TH St
Columbus, IN 47201-5351
Phone (812) 376-5974

3581 Central Ave
Columbus, IN 47203-2036
Phone (812) 376-9601

Hospital & facility affiliations

  • American Nursing Care LLC Home health agency, Columbus, IN, CCN 157077
  • Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as apm
Quality
85.1
Promoting interoperability
94.69
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01037683AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Health Physicians, LLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Columbus Regional Health Physicians, LLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Columbus Urgent Care Center Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Columbus Regional Health Physicians, LLC Family Medicine Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

2502 25th St
Columbus, IN 47201
Phone (812) 372-8883

3581 Central Ave
Columbus, IN 47203
Phone (812) 372-0137

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

Interoperability endpoints

  • Direct secure messaging: ischwartzman7630@edirect.crh.org

Organizations & group practices 6

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1144252552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775383",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775383",
            "telephone_number": "812-376-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 CENTRAL AVE",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032036",
            "telephone_number": "812-376-9601",
            "fax_number": "812-378-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZMAN",
        "first_name": "ILYA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01037683A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01037683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "003944",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100083410A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000089434",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000990927",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100083410",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "351896225100",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "351896225",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ischwartzman7630@edirect.crh.org",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct address",
            "address_1": "3581 Central Ave",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472032036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.