Active NPI
Carol M Schobert, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- La Porte, IN
National Provider Identifier
1316920820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 01029403A
- Practice address
- 900 I St
Laporte, IN 46350-5533 - Phone
- (219) 324-1700
- Fax
- (219) 324-1710
- NPI assigned
- Nov 29, 2005
- Last updated
- Oct 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 01029403A | IN | Primary |
Addresses
Primary practice location
900 I St
Laporte, IN 46350-5533
Mailing address
3355 Douglas Rd
Ste. 300
South Bend, IN 46635-1781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100163790 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01029403A | IN | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health la Porte Hospital Inc | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- La Porte, IN
- NPI 1386822989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225065600000",
"number": "1316920820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 DOUGLAS RD",
"address_2": "STE. 300",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466351781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 I ST",
"city": "LAPORTE",
"state": "IN",
"postal_code": "463505533",
"telephone_number": "219-324-1700",
"fax_number": "219-324-1710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOBERT",
"first_name": "CAROL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-29",
"last_updated": "2008-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "IN",
"license": "01029403A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100163790",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Porte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.