Individual provider Active NPI

William J Schmalz, MD

  • Internal Medicine Physician
  • Bloomington, IN
National Provider Identifier
1336255900
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01024519 Issued in IN
Practice address
3209 W Fullerton Pike
Suite E
Bloomington, IN 47403-4060
Phone
(812) 825-6102
Fax
(812) 825-6148
NPI assigned
Aug 23, 2006
Last updated
Mar 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01024519 IN Primary

Addresses

Primary practice location

3209 W Fullerton Pike
Suite E
Bloomington, IN 47403-4060

Mailing address

3209 E Fullerton Pike
Suite E
Bloomington, IN 47403-3209
Phone (812) 825-6102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050909000826 IN Practitioner - Internal Medicine 5395777320 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01024519INMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Medical Group Inc Internal Medicine CurrentSince Jan 24, 2015 Accepting new patients
Monroe Physicians Group Past Accepting new patients
Anesthesia Care of Bloomington PC Past Accepting new patients

Locations

2929 S McIntire Dr
Bloomington, IN 47403
Phone (317) 571-1501

3209 W Fullerton Pike
Ste E
Bloomington, IN 47403
Phone (812) 825-6102

421 S Landmark Ave
Bloomington, IN 47403
Phone (812) 332-4468

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8479/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1336255900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 E FULLERTON PIKE",
            "address_2": "SUITE E",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033209",
            "telephone_number": "812-825-6102",
            "fax_number": "812-825-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 W FULLERTON PIKE",
            "address_2": "SUITE E",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034060",
            "telephone_number": "812-825-6102",
            "fax_number": "812-825-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMALZ",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01024519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.