Individual provider Active NPI

Harold D Schoenhaus, DPM

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1245238351
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC001395L Issued in PA
Practice address
1740 South Street
Suite 500
Philadelphia, PA 19146-8400
Phone
(215) 546-1618
Fax
(215) 546-9905
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC001395L PA Primary

Addresses

Primary practice location

1740 South Street
Suite 500
Philadelphia, PA 19146-8400

Mailing address

1740 South Street
Suite 500
Philadelphia, PA 19146-8400
Phone (215) 546-1618

Other identifiers 1

IdentifierTypeStateIssuer
0005069790003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20071207000336 PA Practitioner - PodiatryPractitioner - Orthopedic Surgery 3476657636 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC001395LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. H. D. Schoenhaus , P.C. Podiatrist CurrentSince Dec 4, 1978 Accepting new patients
South Jersey Sports Medicine Center PC Past Accepting new patients

Locations

1740 South St
Ste 500
Philadelphia, PA 19146
Phone (215) 546-1618

1800 Lombard St
Ste 702
Philadelphia, PA 19146
Phone (215) 546-1618

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1245238351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 SOUTH STREET",
            "address_2": "SUITE 500",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191468400",
            "telephone_number": "215-546-1618",
            "fax_number": "215-546-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 SOUTH STREET",
            "address_2": "SUITE 500",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191468400",
            "telephone_number": "215-546-1618",
            "fax_number": "215-546-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENHAUS",
        "first_name": "HAROLD",
        "middle_name": "D",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001395L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005069790003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.