Individual provider Active NPI

Lyndetta R Schwartz, MD

  • Internal Medicine Physician
  • Miamisburg, OH
National Provider Identifier
1174505465
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35059318 Issued in OH
Practice address
2115 Leiter Rd
Miamisburg, OH 45342-3659
Phone
(937) 384-6800
Fax
(937) 384-6939
NPI assigned
Nov 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35059318 OH Primary

Addresses

Primary practice location

2115 Leiter Rd
Miamisburg, OH 45342-3659

Mailing address

2115 Leiter Rd
Miamisburg, OH 45342-3659
Phone (937) 384-6800

Other identifiers 1

IdentifierTypeStateIssuer
0783086MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lschwartz193503@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050404000023 OH Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1850348731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Loma Linda University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Dayton Acute Care Consultants, IncGroup PAC ID 3577452465, 116 clinicians

Practice addresses (Care Compare)

3535 Southern Blvd
Dayton, OH 45429-1221
Phone 93729843315425

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.82 of 100Reported as group
Quality
79.31
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35059318OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Dayton Acute Care Consultants, Inc Internal Medicine CurrentSince Jul 1, 1998 Accepting new patients
Alliance Physicians Inc Internal Medicine Current Accepting new patients
Kettering Medical Center Past Accepting new patients
Ohio Wound and Hyperbaric Center, LLC PastSince Apr 14, 2011 Accepting new patients

Locations

33 W Rahn Rd
Ste 202
Dayton, OH 45429

2400 Miami Valley Dr
#220
Dayton, OH 45459
Phone (937) 208-4300

33 W Rahn Rd
#101
Dayton, OH 45429
Phone 9374338990102

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

33 W Rahn Rd
Kettering, OH 45429
Phone 9374338990 ext. 102

2115 Leiter Rd
Ste 300
Miamisburg, OH 45342

2115 Leiter Rd
Miamisburg, OH 45342
Phone (937) 384-6920

4000 Miamisburg Centerville Rd
Ste 450
Miamisburg, OH 45342
Phone (937) 439-3600

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1174505465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 LEITER RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423659",
            "telephone_number": "937-384-6800",
            "fax_number": "937-384-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 LEITER RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423659",
            "telephone_number": "937-384-6800",
            "fax_number": "937-384-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "LYNDETTA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35059318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0783086",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lschwartz193503@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "2115 Leiter Rd",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453423659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "2115 Leiter Rd",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453423659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miamisburg, OH

Sources for this page

Verify at the official NPI Registry.