Active NPI
Jerome B Schutzman, M.D.
- Interventional Cardiology Physician
- Edgewood, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 30303
- Practice address
- 711 Medical Village Dr
Edgewood, KY 41017 - Phone
- (859) 287-3045
- Fax
- (859) 578-3800
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 30303 | KY | |
| Interventional Cardiology Physician | 207RI0011X | 30303 | KY | Primary |
| Interventional Cardiology Physician | 207RI0011X | 01070934A | IN | |
| Cardiovascular Disease Physician | 207RC0000X | 01070934A | IN |
Addresses
Primary practice location
711 Medical Village Dr
Edgewood, KY 41017
Mailing address
P.O. Box 636324
Cincinnati, OH 45263-6324
Phone (859) 344-5555
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64303035 | Medicaid | KY | |
| 50024717 | Medicaid | KY | |
| 0885225 | Medicaid | OH | |
| P00920126 | Other | KY | RAILROAD MEDICARE |
| 100463880 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- University of Kentucky College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Medical Group Inc
Practice addresses (Care Compare)
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-4723
1640 Flossie Dr
Greendale, IN 47025-8424
Phone (855) 277-4230
600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (859) 301-2465
Hospital & facility affiliations
- St Elizabeth Edgewood
- St Elizabeth Ft Thomas
- St Elizabeth Florence
- St Elizabeth Dearborn Hospital
- St Elizabeth Grant
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01070934A | IN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Elizabeth Medical Center, Inc | Current | Accepting new patients | |
| St Elizabeth Medical Center, Inc | Current | Accepting new patients | |
| Summit Medical Group, Inc | Current | Accepting new patients | |
| Summit Medical Group, Inc | Current | Accepting new patients | |
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133
1640 Flossie Dr
Lawrenceburg, IN 47025
Phone (812) 496-3285
600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700
401 E 20th St
Covington, KY 41014
Phone (859) 283-6600
210 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (513) 872-5700
900 Medical Village Dr
Edgewood, KY 41017
Phone (859) 344-5501
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
711 Medical Village Dr
Edgewood, KY 41017
Phone (859) 287-3045
7370 Turfway Rd
Ste 109
Florence, KY 41042
Phone (513) 872-5700
20 N Grand Ave
Ste 3
Fort Thomas, KY 41075
Phone (606) 781-8000
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
2300 Chamber Center Dr
Lakeside Park, KY 41017
Phone (859) 341-3114
1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000
Interoperability endpoints
- jschutzman26917@direct-prd.stelizabeth.com
Organizations & group practices 6
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
- Erlanger, KY
- NPI 1750343216
-
- Community/Retail Pharmacy
- Florence, KY
- NPI 1104699453
-
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Williamstown, KY
- NPI 1114974813
-
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
- General Acute Care Hospital
- Fort Thomas, KY
- NPI 1740221795
-
- General Acute Care Hospital
- Lawrenceburg, IN
- NPI 1326142498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1275536302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 636324",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636324",
"telephone_number": "859-344-5555",
"fax_number": "859-344-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 MEDICAL VILLAGE DR",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "41017",
"telephone_number": "859-287-3045",
"fax_number": "859-578-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUTZMAN",
"first_name": "JEROME",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "30303",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "KY",
"license": "30303",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IN",
"license": "01070934A",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01070934A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64303035",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50024717",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0885225",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00920126",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100463880",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.