Individual provider Active NPI

Barry Michael Schimmer, M.D.

  • Rheumatology Physician
  • Philadelphia, PA
National Provider Identifier
1396716122
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD012979E Issued in PA
Practice address
822 Pine St
Suite 3a
Philadelphia, PA 19107-6187
Phone
(215) 829-5358
Fax
(215) 923-6442
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD012979E PA Primary

Addresses

Primary practice location

822 Pine St
Suite 3a
Philadelphia, PA 19107-6187

Mailing address

822 Pine St
Suite 3a
Philadelphia, PA 19107-6187
Phone (215) 829-5358

Other identifiers 1

IdentifierTypeStateIssuer
0626082MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100202000054 PA Practitioner - RheumatologyPractitioner - Internal Medicine 6103922125 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Rheumatology Associates, P.C. Rheumatology CurrentSince Oct 1, 1994 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

822 Pine St
Ste 1C
Philadelphia, PA 19107
Phone (215) 574-3573

822 Pine St
Ste 3A
Philadelphia, PA 19107
Phone (215) 829-5354

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHGABA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1396716122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 PINE ST",
            "address_2": "SUITE 3A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076187",
            "telephone_number": "215-829-5358",
            "fax_number": "215-923-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 PINE ST",
            "address_2": "SUITE 3A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076187",
            "telephone_number": "215-829-5358",
            "fax_number": "215-923-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIMMER",
        "first_name": "BARRY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD012979E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0626082",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.