Individual provider Active NPI

Mary Ellen Schwartz, DPM

  • Podiatrist
  • Plymouth, IN
National Provider Identifier
1174518393
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07000938A Issued in IN
Practice address
116 E Washington St
Plymouth, IN 46563-1744
Phone
(574) 935-4068
Fax
(574) 935-4058
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07000938A IN Primary

Addresses

Primary practice location

116 E Washington St
Plymouth, IN 46563-1744

Mailing address

112 E Washington St
Plymouth, IN 46563-1744
Phone (574) 316-0306

Other identifiers 3

IdentifierTypeStateIssuer
200353690MedicaidIN
P00403293OtherINMEDICARE RAILROAD
000000521416OtherINANTHEM

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070717000354 IN Practitioner - Podiatry 8820198062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 E Washington St
Plymouth, IN 46563-1744
Phone (574) 316-0306

116 E Washington St
Plymouth, IN 46563-1744

Hospital & facility affiliations

  • Saint Joseph Regional Medical Center - Plymouth Hospital, Plymouth, IN, CCN 150076
  • Community Hospital of Bremen Inc Hospital, Bremen, IN, CCN 151300

Merit-based Incentive Payment System (MIPS)

Final score
64.23 of 100Reported as individual
Quality
26.3
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07000938AINMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Schwartz, DPM. PC. Podiatrist CurrentSince Jul 2, 2007 Accepting new patients
Northern Indiana Foot & Ankle Assoc Inc Podiatrist Past Accepting new patients

Locations

112 E Washington St
Plymouth, IN 46563
Phone (219) 326-7876

116 E Washington St
Plymouth, IN 46563
Phone (574) 316-0306

Interoperability endpoints

  • Direct secure messaging: mschwartz1163250@direct.trinity-health.org

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.

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1174518393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E WASHINGTON ST",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631744",
            "telephone_number": "574-316-0306",
            "fax_number": "574-239-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E WASHINGTON ST",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631744",
            "telephone_number": "574-935-4068",
            "fax_number": "574-935-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000938A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200353690",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00403293",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000521416",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, IN

Sources for this page

Verify at the official NPI Registry.