Individual provider Active NPI

Erik Darrell Schoenberg, MD

  • Otolaryngology Physician
  • Sanford, FL
National Provider Identifier
1316947948
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME128748 Issued in FL
Practice address
200 N Mangoustine Ave
Sanford, FL 32771-1017
Phone
(407) 833-7415
Fax
(407) 833-7416
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD22591 OR
Otolaryngology Physician 207Y00000X ME128748 FL Primary

Addresses

Primary practice location

200 N Mangoustine Ave
Sanford, FL 32771-1017

Mailing address

200 N Mangoustine Ave
Sanford, FL 32771-1017
Phone (407) 833-7415

Other identifiers 1

IdentifierTypeStateIssuer
287955MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ERIK.SCHOENBERG@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160824002910 FL Practitioner - Otolaryngology 7517096696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Boston University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Central Florida Physician Network LLCGroup PAC ID 5193895969, 10 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

1401 S Seminole Blvd
Sanford, FL 32771-6743
Phone (407) 321-4500

1401 W Seminole Blvd
Central Florida Regional Hospital
Sanford, FL 32771-6743
Phone (407) 321-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD22591ORMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osceola Surgical Associates LLC CurrentSince Apr 3, 2017 Accepting new patients
Central Florida Physician Network LLC CurrentSince Aug 1, 2016 Accepting new patients
Suzanne Cleland Zamudio MD PC Otolaryngology Past Accepting new patients
Portland Ear Nose & Throat Otolaryngology Past Accepting new patients

Locations

2450 N Orange Blossom Trl
Kissimmee, FL 34744
Phone (407) 846-4343

1401 W Seminole Blvd
Fl Regi
Sanford, FL 32771
Phone (407) 302-2620

200 N Mangoustine Ave
Sanford, FL 32771
Phone (407) 833-7415

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: erik.schoenberg@hca4.eclinicaldirectplus.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1316947948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MANGOUSTINE AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711017",
            "telephone_number": "407-833-7415",
            "fax_number": "407-833-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MANGOUSTINE AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711017",
            "telephone_number": "407-833-7415",
            "fax_number": "407-833-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENBERG",
        "first_name": "ERIK",
        "middle_name": "DARRELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OR",
            "license": "MD22591",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME128748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287955",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ERIK.SCHOENBERG@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "200 N Mangoustine Ave",
            "city": "Sanford",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327711017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.