Individual provider Active NPI

Billy Don Schumpert, D.O.

  • Family Medicine Physician
  • Cleveland, OK
National Provider Identifier
1306885934
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2548 Issued in OK
Practice address
1400 W Pawnee St
Cleveland, OK 74020-3020
Phone
(918) 358-3588
Fax
(918) 358-2639
NPI assigned
Jun 6, 2006
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2548 OK Primary

Addresses

Primary practice location

1400 W Pawnee St
Cleveland, OK 74020-3020

Mailing address

1400 W Pawnee St
Cleveland, OK 74020-3020
Phone (918) 358-3588

Other identifiers 1

IdentifierTypeStateIssuer
100118670AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20060919000563 OK Practitioner - Family Practice 8325043607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Area Hospital AuthorityGroup PAC ID 3476615733, 6 clinicians

Practice addresses (Care Compare)

1400 W Pawnee St
Cleveland, OK 74020-3020

1401 W Pawnee St
Cleveland, OK 74020-3020

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2548OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Area Hospital Holdings, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Cleveland Area Hospital Holdings, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Summit Medical Center Past Accepting new patients
Cleveland Area Hospital Holdings, Inc. Past Accepting new patients

Locations

1400 W Pawnee St
Cleveland, OK 74020
Phone (918) 358-3558

1401 W Pawnee St
Cleveland, OK 74020
Phone (918) 358-2501

Interoperability endpoints

  • Direct secure messaging: billy.schumpert.1@13140.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1306885934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W PAWNEE ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740203020",
            "telephone_number": "918-358-3588",
            "fax_number": "918-358-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W PAWNEE ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740203020",
            "telephone_number": "918-358-3588",
            "fax_number": "918-358-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMPERT",
        "first_name": "BILLY",
        "middle_name": "DON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100118670A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OK

Sources for this page

Verify at the official NPI Registry.