Individual provider Active NPI

Eva K Schwartz, M.D.

  • Pediatrics Physician
  • St Louis Park, MN
National Provider Identifier
1356769467
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
65436 Issued in MN
Practice address
6500 Excelsior Blvd
St Louis Park, MN 55426
Phone
(950) 993-5000
NPI assigned
Apr 4, 2014
Last updated
Jun 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD461644 PA
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 65436 MN Primary

Addresses

Primary practice location

6500 Excelsior Blvd
St Louis Park, MN 55426

Mailing address

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (950) 993-5000

Other practice location 1

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone (412) 942-1140

Other practice location 2

4401 Penn Ave
AOB Suite 5400
Pittsburgh, PA 15224-1334
Phone (412) 692-5285

Other practice location 3

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone (412) 942-1140

Other identifiers 1

IdentifierTypeStateIssuer
MD461644OtherPAMEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170803001303 PA Practitioner - Pediatric Medicine 2567733975 Reassigns benefits to 2 organizations
I20190723001714 MN Practitioner - Pediatric MedicinePractitioner - Hospitalist 2567733975 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65436MNMDPediatrics Physician
MD461644PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Nov 3, 2018 Accepting new patients
Park Nicollet Clinic Pediatrics CurrentSince Jul 15, 2019 Accepting new patients
St Clair Professional Services Inc CurrentSince Aug 1, 2017 Accepting new patients
St Clair Professional Services Inc Pediatrics CurrentSince Aug 1, 2017 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Upmc Community Medicine Inc CurrentSince Nov 3, 2018 Accepting new patients
Park Nicollet Clinic Pediatrics Current Accepting new patients
Park Nicollet Methodist Hospital Past Accepting new patients

Locations

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

6500 Excelsior Blvd
St Louis Park, MN 55426
Phone (952) 993-3246

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

5215 Centre Ave
Shadyside, PA 15232
Phone (412) 623-2817

Organizations & group practices 8

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": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1356769467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 EXCELSIOR BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264702",
            "telephone_number": "950-993-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 EXCELSIOR BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "55426",
            "telephone_number": "950-993-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Bower Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152431873",
            "country_code": "US",
            "telephone_number": "412-942-1140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4401 Penn Ave",
            "address_2": "AOB Suite 5400",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152241334",
            "country_code": "US",
            "telephone_number": "412-692-5285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Bower Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152431873",
            "country_code": "US",
            "telephone_number": "412-942-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "EVA",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD461644",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "65436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "MD461644",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.