Individual provider Active NPI

Benjamin Hugh Schoepke

  • Anesthesiology Physician
  • Hawthorne, CA
National Provider Identifier
1215357645
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A156814 Issued in CA
Practice address
14003 Shoup Ave
Hawthorne, CA 90250-6513
Phone
(901) 338-3499
NPI assigned
Apr 24, 2014
Last updated
Jan 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A156814 CA Primary

Addresses

Primary practice location

14003 Shoup Ave
Hawthorne, CA 90250-6513

Mailing address

746 N Belvedere Blvd
Apt 2
Memphis, TN 38107-5057
Phone (901) 338-3499

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712003306 CA Practitioner - Anesthesiology 2961793724 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Corona Anesthesia Group, Inc. Single Specialty CurrentSince Apr 5, 2022 Accepting new patients

Locations

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1215357645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 N BELVEDERE BLVD",
            "address_2": "APT 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381075057",
            "telephone_number": "901-338-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14003 SHOUP AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506513",
            "telephone_number": "901-338-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOEPKE",
        "first_name": "BENJAMIN",
        "middle_name": "HUGH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-24",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A156814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

Verify at the official NPI Registry.