Active NPI
Robert Adam Schulman, MD
- Physical Medicine & Rehabilitation Physician
- Santa Rosa, CA
National Provider Identifier
1174633879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- G88960
- Practice address
- 95 Montgomery Dr
Ste 120
Santa Rosa, CA 95404-6617 - Phone
- (415) 893-8399
- Fax
- (866) 280-2348
- NPI assigned
- Aug 30, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 0101255067 | VA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 190195 | NY | |
| Physical Medicine & Rehabilitation Physician | 208100000X | G88960 | CA | Primary |
Addresses
Primary practice location
95 Montgomery Dr
Ste 120
Santa Rosa, CA 95404-6617
Mailing address
95 Montgomery Dr Ste 120
Santa Rosa, CA 95404-6617
Phone (415) 839-8399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GE949A | Other | CA | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120628000590 | CA | Practitioner - Physical Medicine and Rehabilitation | 2769525351 | Practice locations: Santa Rosa, CA; Sebastopol, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G88960 | CA | MD | Physical Medicine & Rehabilitation Physician |
| 0101255067 | VA | MD | Physical Medicine & Rehabilitation Physician |
| 190195 | NY | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Monterey | Past | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients | |
| Enloe Medical Center | Past | Accepting new patients | |
| Shelleen E Denno MD Inc. | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Seaside, CA
- NPI 1881645158
-
- General Acute Care Hospital
- Chico, CA
- NPI 1417901091
-
- Internal Medicine Physician
- Santa Rosa, CA
- NPI 1114382751
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541635200000",
"number": "1174633879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 MONTGOMERY DR STE 120",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954046617",
"telephone_number": "415-839-8399",
"fax_number": "866-280-2348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 MONTGOMERY DR",
"address_2": "STE 120",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954046617",
"telephone_number": "415-893-8399",
"fax_number": "866-280-2348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULMAN",
"first_name": "ROBERT",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2018-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "0101255067",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NY",
"license": "190195",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "G88960",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "GE949A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.