Active NPI
Jason M Schwalb, MD
- Neurological Surgery Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 4301093588
- Practice address
- 2799 W Grand Blvd
K-11
Detroit, MI 48202-2608 - Phone
- (313) 916-3598
- Fax
- (313) 916-7139
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 235388 | NY | |
| Neurological Surgery Physician | 207T00000X | 01094410A | IN | |
| Neurological Surgery Physician | 207T00000X | 4301093588 | MI | Primary |
Addresses
Primary practice location
2799 W Grand Blvd
K-11
Detroit, MI 48202-2608
Mailing address
2799 W Grand Blvd
K-11
Detroit, MI 48202-2608
Phone (313) 916-3598
Other practice location 1
355 W 16th St Ste 5100
Indianapolis, IN 46202-2274
Phone (317) 963-1300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0263824610 | Medicaid | MI | |
| 02638246 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jschwalb@direct.iuhealth.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01094410A | IN | MD | Neurological Surgery Physician |
| 4301093588 | MI | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| University Family Physicians, Inc. | Current | Accepting new patients |
Locations
7216 Solutions Ctr
Chicago, IL 60677
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
355 W 16th St
Ste 5100
Indianapolis, IN 46202
Phone (317) 963-8145
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
Interoperability endpoints
- jschwalb@direct.iuhealth.org
- jschwalb131120@direct.eskenazihealth.edu
- jschwalb17008@direct.hfhs.org
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 and National Provider Directory roles.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1669828042
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1366497950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"address_2": "K-11",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "313-916-3598",
"fax_number": "313-916-7139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"address_2": "K-11",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "313-916-3598",
"fax_number": "313-916-7139"
}
],
"practiceLocations": [
{
"address_1": "355 W 16th St Ste 5100",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462022274",
"country_code": "US",
"telephone_number": "317-963-1300",
"fax_number": "317-222-2012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHWALB",
"first_name": "JASON",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NY",
"license": "235388",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IN",
"license": "01094410A",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MI",
"license": "4301093588",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0263824610",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02638246",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jschwalb@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "355 W 16th St Ste 5100",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462022274",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.