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Individual provider Active NPI

Jacob Schultz

  • Physical Medicine & Rehabilitation Physician
  • Louisville, KY
National Provider Identifier
1366979916
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
57642 Issued in KY
Practice address
225 Abraham Flexner Way Ste 505
Louisville, KY 40202-1896
Phone
(502) 588-2160
NPI assigned
May 15, 2017
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 57642 KY Primary

Addresses

Primary practice location

225 Abraham Flexner Way Ste 505
Louisville, KY 40202-1896

Mailing address

4109 Woodmont Park LN
Louisville, KY 40245-8431
Phone (859) 750-4785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, AL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230703001154 KY Practitioner - Physical Medicine and Rehabilitation 8224450200 Reassigns benefits to 3 organizations
I20230809002630 AL Practitioner - Physical Medicine and Rehabilitation 8224450200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Louisville School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

134 Heartland Dr
Elizabethtown, KY 42701-2778
Phone (270) 769-3100

225 Abraham Flexner Way
2ND FL
Louisville, KY 40202-1846
Phone (502) 587-4203

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Jun 20, 2023 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Signify Health, LLC CurrentSince Jun 27, 2023 Accepting new patients
Jacob Schultz Rehabilitation Services Physical Medicine & Rehabilitation CurrentSince Jan 1, 2024 Accepting new patients
University of Louisville Physicians, Inc. Physical Medicine & Rehabilitation CurrentSince Jun 20, 2023 Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 314-5700

7752 Solution Ctr
Chicago, IL 60677

134 Heartland Dr
Elizabethtown, KY 42701
Phone (270) 769-3100

11800 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 509-3430

225 Abraham Flexner Way
Ste 2
Louisville, KY 40202
Phone (502) 587-4404

225 Abraham Flexner Way
Ste 505
Louisville, KY 40202
Phone (502) 584-4121

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: jschultz37181@uoflhealth-dm.org

Organizations & group practices 6

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.

Hospital & facility affiliations 39

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1366979916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 WOODMONT PARK LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402458431",
            "telephone_number": "859-750-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ABRAHAM FLEXNER WAY STE 505",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021896",
            "telephone_number": "502-588-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-15",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "57642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.