Individual provider Active NPI

Richard C. Schultz Jr., M.D.

  • Otolaryngology Physician
  • Traverse City, MI
National Provider Identifier
1386612935
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301054337 Issued in MI
Practice address
1104 Cass St
Traverse City, MI 49684-3236
Phone
(231) 941-1155
Fax
(231) 259-1005
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4301054337 MI Primary

Addresses

Primary practice location

1104 Cass St
Traverse City, MI 49684-3236

Mailing address

1104 Cass St
Traverse City, MI 49684-3236
Phone (231) 941-1155

Other identifiers 2

IdentifierTypeStateIssuer
0402802541OtherMIBCBS
2593024MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SchultzR@cassstearnosethroat.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20101027000634 MI Practitioner - Otolaryngology 1759371032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Tulane University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard C Schultz MD and Associates PCGroup PAC ID 7719171966, 5 clinicians

Practice addresses (Care Compare)

1104 Cass St
Traverse City, MI 49684-3236
Phone (231) 941-1155

Hospital & facility affiliations

  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097
  • Kalkaska Memorial Health Center Hospital, Kalkaska, MI, CCN 231301

Merit-based Incentive Payment System (MIPS)

Final score
96.07 of 100Reported as group
Quality
92.85
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301054337MIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard C Schultz MD & Associates PC Otolaryngology CurrentSince Aug 1, 2010 Accepting new patients

Locations

1104 Cass St
Traverse City, MI 49684
Phone (231) 941-1155

Interoperability endpoints

  • Direct secure messaging: schultzr@cassstearnosethroat.emadirect.md

Organizations & group practices 1

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 2

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1386612935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 CASS ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843236",
            "telephone_number": "231-941-1155",
            "fax_number": "231-259-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 CASS ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843236",
            "telephone_number": "231-941-1155",
            "fax_number": "231-259-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "RICHARD",
        "middle_name": "C.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301054337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0402802541",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2593024",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SchultzR@cassstearnosethroat.emadirect.md",
            "affiliation": "N",
            "address_1": "1104 Cass St",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496843236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.