Active NPI
Jeffrey Allen Schultz, MD
- Anesthesiology Physician
- Coldwater, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301082991
- Practice address
- 274 East Chicago Street
Coldwater, MI 49036 - Phone
- (517) 279-5400
- Fax
- (517) 279-7140
- NPI assigned
- Apr 22, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301082991 | MI | Primary |
Addresses
Primary practice location
274 East Chicago Street
Coldwater, MI 49036
Mailing address
PO Box 1108
Ann Arbor, MI 48106-1108
Phone (517) 279-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4583896 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601
2 Good Samaritan Way
Suite 200
Mount Vernon, IL 62864-2476
Phone (618) 899-3869
Hospital & facility affiliations
- Good Samaritan Regional HLTH Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.77 of 100
- Quality
- 85.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301082991 | MI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Good Samaritan Regional Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Anesthesia Associates of Southern Illinois Surgery Center LLC | Anesthesiology | Current | Accepting new patients |
| Good Samaritan Regional Health Center | Anesthesiology | Current | Accepting new patients |
| St. Mary'S Hospital, Centralia, Illinois | Current | Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Current | Accepting new patients |
Locations
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
4225 Lincolnshire Dr
Ste B
Mount Vernon, IL 62864
605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200
2 Good Samaritan Way
Ste 200
Mount Vernon, IL 62864
Phone (618) 899-3869
5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Mount Vernon, IL
- NPI 1043757487
-
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1487758801
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- Emergency Medicine Physician
- Centralia, IL
- NPI 1770687196
-
- Anesthesiology Physician
- Mount Vernon, IL
- NPI 1194269597
-
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Centralia, IL
- NPI 1710105192
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174589774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1108",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481061108",
"telephone_number": "517-279-5400",
"fax_number": "517-279-7140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "274 EAST CHICAGO STREET",
"city": "COLDWATER",
"state": "MI",
"postal_code": "49036",
"telephone_number": "517-279-5400",
"fax_number": "517-279-7140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "JEFFREY",
"middle_name": "ALLEN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301082991",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4583896",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coldwater, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.