Active NPI
Phyllis I Schmidt, M.D.
- Diagnostic Radiology Physician
- Indianapolis, IN
National Provider Identifier
1154315224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01021568
- Practice address
- 8415 Spring Mill CT
Indianapolis, IN 46260-2335 - Phone
- (317) 255-7044
- NPI assigned
- Sep 6, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01021568 | IN | Primary |
Addresses
Primary practice location
8415 Spring Mill CT
Indianapolis, IN 46260-2335
Mailing address
8415 Spring Mill CT
Indianapolis, IN 46260-2335
Phone (317) 255-7044
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000201672 | Other | IN | ANTHEM # |
| 5553113 | Other | IN | AETNA # |
| P00927199 | Other | IN | RAILROAD MEDICARE |
| 200074750 | Medicaid | IN | |
| 200346250 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01021568 | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indianapolis Breast Center, PC | Diagnostic Radiology | Past | Accepting new patients |
| Solis Women'S Health Breast Imaging Specialists of Indiana, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1154364495
-
- Mammography Clinic/Center
- Carmel, IN
- NPI 1730418880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1154315224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8415 SPRING MILL CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602335",
"telephone_number": "317-255-7044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8415 SPRING MILL CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602335",
"telephone_number": "317-255-7044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "PHYLLIS",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-06",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01021568",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM #",
"identifier": "000000201672",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA #",
"identifier": "5553113",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00927199",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200074750",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200346250",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.