Individual provider Active NPI

Barbara Schroeder, M.D.

  • Ophthalmology Physician
  • Fort Wayne, IN
National Provider Identifier
1154329100
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01039063A Issued in IN
Practice address
3301 Lake Ave
Fort Wayne, IN 46805-5529
Phone
(260) 422-3937
Fax
(260) 424-6900
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01039063A IN Primary

Addresses

Primary practice location

3301 Lake Ave
Fort Wayne, IN 46805-5529

Mailing address

3301 Lake Ave
Fort Wayne, IN 46805-5529
Phone (260) 422-3937

Other identifiers 2

IdentifierTypeStateIssuer
180011187OtherINRR MEDICARE
100348030MedicaidIN

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
I20091120000446 IN Practitioner - Ophthalmology 1951348960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Indiana University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Ophthalmology P CGroup PAC ID 4688611692, 10 clinicians

Practice addresses (Care Compare)

3301 Lake Ave
Fort Wayne, IN 46805-5529
Phone (260) 422-3937

Hospital & facility affiliations

  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as group
Quality
89.8
Improvement activities
40
Cost
76.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery268

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Ophthalmology P C Ophthalmology CurrentSince Feb 28, 1991 Accepting new patients
Northeast Ophthalmology P C Ophthalmology CurrentSince Feb 28, 1991 Accepting new patients
Northeast Indiana Ambulatory Surgery Center LLC Ophthalmology Current Accepting new patients

Locations

7750 W Jefferson Blvd
Ste B
Fort Wayne, IN 46804
Phone (260) 459-9595

3301 Lake Ave
Fort Wayne, IN 46805
Phone (219) 422-3939

11277 Twin Creeks Dr
Fort Wayne, IN 46845
Phone (260) 422-3937

Interoperability endpoints

  • Direct secure messaging: bschroeder@vco.intellechartdirect.net

Organizations & group practices 3

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1154329100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 LAKE AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055529",
            "telephone_number": "260-422-3937",
            "fax_number": "260-424-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 LAKE AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055529",
            "telephone_number": "260-422-3937",
            "fax_number": "260-424-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "BARBARA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01039063A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180011187",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100348030",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.