Individual provider Active NPI

Charles Schwartz III, DO

  • Surgery Physician
  • Laredo, TX
National Provider Identifier
1437133725
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L0574 Issued in TX
Practice address
6801 McPherson Ave
#332
Laredo, TX 78041-6402
Phone
(956) 795-1991
Fax
(956) 795-1955
NPI assigned
Dec 1, 2005
Last updated
Mar 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L0574 TX
Surgery Physician 208600000X L0574 TX Primary

Addresses

Primary practice location

6801 McPherson Ave
#332
Laredo, TX 78041-6402

Mailing address

6801 McPherson Ave
#332
Laredo, TX 78041-6402
Phone (956) 795-1991

Other identifiers 1

IdentifierTypeStateIssuer
031206801MedicaidTX

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
I20120404000971 TX Practitioner - General SurgeryPractitioner - Emergency Medicine 2769642453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laredo Emergency Medicine Associates PAGroup PAC ID 5395741896, 45 clinicians

Practice addresses (Care Compare)

1700 E Saunders St
Laredo, TX 78041-5401
Phone (956) 796-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.42 of 100Reported as group
Quality
73.44
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
L0574TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laredo Emergency Medicine Associates PA Emergency Medicine CurrentSince Jan 15, 2015 Accepting new patients

Locations

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

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.

Hospital & facility affiliations 1

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1437133725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 MCPHERSON AVE",
            "address_2": "#332",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416402",
            "telephone_number": "956-795-1991",
            "fax_number": "956-795-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 MCPHERSON AVE",
            "address_2": "#332",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416402",
            "telephone_number": "956-795-1991",
            "fax_number": "956-795-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "CHARLES",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L0574",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L0574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031206801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.