Active NPI
William R Schetman, MD
- Internal Medicine Physician
- Wynnewood, PA
National Provider Identifier
1427020874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD041070E
- Practice address
- 100 E Lancaster Ave Ste 461E
Wynnewood, PA 19096-3434 - Phone
- (610) 649-0500
- Fax
- (610) 649-5700
- NPI assigned
- Feb 1, 2006
- Last updated
- Feb 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD041070E | PA | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD041070E | PA |
Addresses
Primary practice location
100 E Lancaster Ave Ste 461E
Wynnewood, PA 19096-3434
Mailing address
100 E Lancaster Ave Ste 461E
Wynnewood, PA 19096-3434
Phone (610) 649-0500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001157569 | Medicaid | PA | |
| 232359401 | Other | PA | MAIN LINE HEALTHCARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | william.schetman.1@14138.direct.athenahealth.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100917000166 | PA | Practitioner - Internal Medicine | 2961527684 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- william.schetman.1@14138.direct.athenahealth.com
Organizations & group practices 1
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": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1427020874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE STE 461E",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963434",
"telephone_number": "610-649-0500",
"fax_number": "610-649-4744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE STE 461E",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963434",
"telephone_number": "610-649-0500",
"fax_number": "610-649-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHETMAN",
"first_name": "WILLIAM",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD041070E",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "PA",
"license": "MD041070E",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001157569",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAIN LINE HEALTHCARE",
"identifier": "232359401",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "william.schetman.1@14138.direct.athenahealth.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "100 E Lancaster Ave",
"address_2": "Suite 330 Lankenau MOB West",
"city": "Wynnewood",
"state": "PA",
"country_code": "US",
"postal_code": "190963450",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.