Individual provider Active NPI

Keith Wayne Schmidt, M.D.

  • Pain Medicine Physician
  • Hoffman Estates, IL
National Provider Identifier
1407162746
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
036131807 Issued in IL
Practice address
1555 Barrington Rd Ste 2400
Hoffman Estates, IL 60169-1063
Phone
(847) 981-3630
NPI assigned
Aug 24, 2010
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036131807 IL
Pain Medicine (Anesthesiology) Physician 207LP2900X 036131807 IL
Pain Medicine Physician 208VP0000X 036131807 IL Primary

Addresses

Primary practice location

1555 Barrington Rd Ste 2400
Hoffman Estates, IL 60169-1063

Mailing address

1555 Barrington Rd Ste 2400
Hoffman Estates, IL 60169-1063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20150622001330 IL Practitioner - Pain ManagementPractitioner - Anesthesiology 2466763115 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bonaventure Medical Foundation LLCGroup PAC ID 7517863178, 164 clinicians

Practice addresses (Care Compare)

1555 Barrington Rd
Hoffman Estates, IL 60169-1019
Phone (847) 490-6945

1555 N Barrington Rd
BLDG 1 Suite 505
Hoffman Estates, IL 60169-1099
Phone (847) 490-6960

1786 Moon Lake Blvd
Hoffman Est, IL 60194-5029
Phone (847) 755-8208

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036131807ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc CurrentSince Apr 1, 2022 Accepting new patients
Pain Centers of Chicago LLC Pain Medicine CurrentSince Jul 1, 2015 Accepting new patients
Bonaventure Medical Foundation, LLC CurrentSince Sep 1, 2017 Accepting new patients
Adventist Health Partners, Inc CurrentSince Apr 1, 2022 Accepting new patients
Pain Centers of Chicago LLC Pain Medicine CurrentSince Jul 1, 2015 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

1555 N Barrington Rd
Ste 2400
Hoffman Estates, IL 60169
Phone (847) 981-3630

1555 N Barrington Rd
Ste 2550
Hoffman Estates, IL 60169
Phone (847) 884-7700

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

301 Madison St
Ste 305
Joliet, IL 60435
Phone 81572571333064

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

190 W Irving Park Rd
Wood Dale, IL 60191
Phone (630) 766-0412

Interoperability endpoints

  • Direct secure messaging: keith.schmidt.4@380.direct.athenahealth.com

Organizations & group practices 7

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 4

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": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1407162746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD STE 2400",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD STE 2400",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691063",
            "telephone_number": "847-981-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "KEITH",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-24",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036131807",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036131807",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IL",
            "license": "036131807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.