Individual provider Active NPI

Thadeus John Schulz, MD

  • Anatomic Pathology Physician
  • New York, NY
National Provider Identifier
1407983117
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
186488 Issued in NY
Practice address
310 E 14TH St
3Rd FL
New York, NY 10003-4201
Phone
(212) 979-4156
Fax
(212) 677-1284
NPI assigned
Feb 28, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 186488 NY Primary

Addresses

Primary practice location

310 E 14TH St
3Rd FL
New York, NY 10003-4201

Mailing address

PO Box 1279
New York, NY 10009-8948
Phone (212) 979-4156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190506001061 TX Practitioner - Pathology 7618219007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Faith LLCGroup PAC ID 9032512900, 10 clinicians

Practice addresses (Care Compare)

1015 Gibbins Rd
Suite a
Arlington, TX 76011-5615
Phone (972) 734-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
3.8 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
12.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
186488NYMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Faith LLC CurrentSince Nov 7, 2022 Accepting new patients
Thadeus Schulz MD PLLC Anatomic Pathology Current Accepting new patients
Kumock PLLC CurrentSince Nov 5, 2023 Accepting new patients
Steven a McCormick MD PC Past Accepting new patients

Locations

1015 Gibbins Rd
Ste A
Arlington, TX 76011
Phone (972) 734-5400

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

Hospital & facility affiliations 5

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407983117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1279",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098948",
            "telephone_number": "212-979-4156",
            "fax_number": "212-677-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 14TH ST",
            "address_2": "3RD FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034201",
            "telephone_number": "212-979-4156",
            "fax_number": "212-677-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZ",
        "first_name": "THADEUS",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NY",
            "license": "186488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.