Active NPI
Arthur Martin Schroeder, M.D.
- Internal Medicine Physician
- South Bend, IN
National Provider Identifier
1174507503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01049858A
- Practice address
- 615 N Michigan St
7TH Floor
South Bend, IN 46601-1033 - Phone
- (574) 647-6225
- Fax
- (574) 647-1094
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01049858A | IN | Primary |
Addresses
Primary practice location
615 N Michigan St
7TH Floor
South Bend, IN 46601-1033
Mailing address
3355 Douglas Rd
Ste. 300
South Bend, IN 46635-1781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200206160 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Indiana, LLC | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Indiana, LLC | Internal Medicine | Current | Accepting new patients |
| Beacon Medical Group Inc | Past | Accepting new patients | |
| Beacon Medical Group, Inc. | Past | Accepting new patients |
Locations
601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Interoperability endpoints
- aschroeder85238@direct.trinity-health.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1720416555
IN
-
- Hospitalist Physician
- Terre Haute, IN
- NPI 1184063257
Internal Medicine
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
- Orthopaedic Surgery Physician
- South Bend, IN
- NPI 1831149525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256774400000",
"number": "1174507503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 DOUGLAS RD",
"address_2": "STE. 300",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466351781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N MICHIGAN ST",
"address_2": "7TH FLOOR",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011033",
"telephone_number": "574-647-6225",
"fax_number": "574-647-1094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "ARTHUR",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2009-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01049858A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200206160",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.