Individual provider Active NPI

Paul Edward Schwartz, MD

  • Family Medicine Physician
  • Henderson, TN
National Provider Identifier
1396770731
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12882 Issued in TN
Practice address
1306 US Highway 45 N
Henderson, TN 38340-4003
Phone
(731) 989-9899
Fax
(731) 989-3495
NPI assigned
Jul 12, 2006
Last updated
Feb 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12882 TN Primary

Addresses

Primary practice location

1306 US Highway 45 N
Henderson, TN 38340-4003

Mailing address

1306 US Highway 45 N
Henderson, TN 38340-4003
Phone (731) 989-9899

Other identifiers 2

IdentifierTypeStateIssuer
3189741MedicaidTN
4113573OtherTNBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20051102000865 TN Practitioner - Family Practice 0749208379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Street Family Medicine IncGroup PAC ID 8022039718, 7 clinicians

Practice addresses (Care Compare)

1306 US Hwy 45 N
Henderson, TN 38340-4003
Phone (731) 989-9899

Merit-based Incentive Payment System (MIPS)

Final score
94.87 of 100Reported as group
Quality
100
Improvement activities
40
Cost
82.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12882TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Clinic PA Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16990/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1396770731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 US HIGHWAY 45 N",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383404003",
            "telephone_number": "731-989-9899",
            "fax_number": "731-989-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 US HIGHWAY 45 N",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383404003",
            "telephone_number": "731-989-9899",
            "fax_number": "731-989-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "PAUL",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "12882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3189741",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "4113573",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TN

Sources for this page

Verify at the official NPI Registry.