Individual provider Active NPI

Michael Schultz, PA

  • Medical Physician Assistant
  • New Haven, CT
National Provider Identifier
1396727533
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
001706 Issued in CT
Practice address
330 Orchard St
New Haven, CT 06511-4417
Phone
(203) 777-0304
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001706 CT
Medical Physician Assistant 363AM0700X 001706 CT Primary

Addresses

Primary practice location

330 Orchard St
New Haven, CT 06511-4417

Mailing address

2200 Whitney Ave
Suite 360
Hamden, CT 06518-3691
Phone (203) 281-4463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051109000394 CT Practitioner - Physician Assistant 4880612746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians
Digestive Disease Associates LLCGroup PAC ID 5395644512, 8 clinicians

Practice addresses (Care Compare)

1450 Chapel St
New Haven, CT 06511-4405
Phone (203) 789-3633

20 York St
New Haven, CT 06510-3220

5 Pequot Park Rd
Westbrook, CT 06498-2856

687 Main St
Branford, CT 06405-3612
Phone (203) 481-0315

95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001706CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Sep 12, 2012 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Sep 12, 2012 Accepting new patients
Digestive Disease Associates Endoscopy Suite, LLC Current Accepting new patients

Locations

687 Main St
Branford, CT 06405
Phone (203) 315-7070

322 E Main St
Ste 1B
Branford, CT 06405
Phone (203) 488-7228

2200 Whitney Ave
Ste 360
New Haven, CT 06518
Phone (203) 281-4463

1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300

240 Indian River Rd
Ste A5
Orange, CT 06477
Phone (203) 799-1252

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

5 Pequot Park Rd
Ste 201
Westbrook, CT 06498
Phone (860) 399-0168

Interoperability endpoints

  • Direct secure messaging: mschultz4543@direct.ynhh.org

Organizations & group practices 4

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 3

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1396727533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE",
            "address_2": "SUITE 360",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183691",
            "telephone_number": "203-281-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ORCHARD ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114417",
            "telephone_number": "203-777-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "001706",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "001706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.