NPIMap

Individual provider Active NPI

Dean Schueler, MD

  • Family Medicine Physician
  • Maryville, IL
National Provider Identifier
1417916099
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036097616 Issued in IL
Practice address
20B Professional Park Dr
Maryville, IL 62062-5669
Phone
(618) 288-1480
Fax
(618) 288-2407
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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 036097616 IL Primary

Addresses

Primary practice location

20B Professional Park Dr
Maryville, IL 62062-5669

Mailing address

20B Professional Park Dr
Maryville, IL 62062-5669
Phone (618) 288-1480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041206000146 IL Practitioner - Family Practice 2961468616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Medical Group LLCGroup PAC ID 5193792018, 136 clinicians

Practice addresses (Care Compare)

20 Professional Park Dr
Suite B
Maryville, IL 62062-5830
Phone (618) 288-1480

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.76 of 100Reported as group
Quality
54.98
Promoting interoperability
85
Improvement activities
40
Cost
73.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036097616ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Medical Group, LLC Family Medicine CurrentSince Sep 1, 2007 Accepting new patients
Eden Retirement Center, Inc. PastSince Nov 1, 2018 Accepting new patients
Granite City Clinic Corp Past Accepting new patients
Granite City Physicians Corp Past Accepting new patients

Locations

20 Professional Park Dr
Ste B
Maryville, IL 62062
Phone (618) 205-3655

6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hitz Memorial HomeAlhambra, IL, CCN 145921 Skilled nursing facility Corporate Director
Operational/Managerial Control
Adp of the SNF		 Mar 1, 2013
Mar 1, 2013
Mar 1, 2013
Eden Village Care CenterGlen Carbon, IL, CCN 145384 Skilled nursing facility Adp of the SNF Nov 1, 2018

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1417916099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20B PROFESSIONAL PARK DR",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625669",
            "telephone_number": "618-288-1480",
            "fax_number": "618-288-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20B PROFESSIONAL PARK DR",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625669",
            "telephone_number": "618-288-1480",
            "fax_number": "618-288-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUELER",
        "first_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036097616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, IL

Sources for this page

Verify at the official NPI Registry.