Active NPI
Jeffrey Michael Schenck, DO
- Family Medicine Physician
- Fairview Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036157832
- Practice address
- 5 Ludwig Dr
Fairview Heights, IL 62208-1332 - Phone
- (618) 397-9000
- Fax
- (618) 397-9003
- NPI assigned
- Apr 8, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036157832 | IL | Primary |
Addresses
Primary practice location
5 Ludwig Dr
Fairview Heights, IL 62208-1332
Mailing address
5 Ludwig Dr
Fairview Heights, IL 62208-1332
Phone (618) 397-9000
Other practice location 1
3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1284
Phone (618) 233-7880 ext. 44405
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jschenck257317@ewd.direct.hshs.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rocky Vista University College of Osteopathic Med, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Saint Anthonys Way
Alton, IL 62002-4568
Phone (618) 465-2571
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120
1512 N Green Mount Rd
O Fallon, IL 62269-2083
Phone (618) 624-3750
5 Ludwig Dr
Fairview Heights, IL 62208-1332
Phone (618) 397-9000
Hospital & facility affiliations
- HSHS Home Care Illinois
- HSHS St Elizabeth'S Hospital
- St Johns Hospital
- Memorial Hospital
- St Joseph'S Hospital
- St Josephs Hospital
- SSM Health Rehabilitation Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 96.63
- Improvement activities
- 40
- Cost
- 81.81
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036157832 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America-Illinois Hospitalists, LLP | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| Vituity - Illinois Auc LLP | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| Vituity - Illinois Auc LLP | Current | Accepting new patients | |
| Cep America-Illinois Hospitalists | Current | Accepting new patients | |
| Cep America-Illinois Hospitalists, LLP | Current | Accepting new patients | |
| SJL Health Systems Inc | Current | Accepting new patients | |
| HSHS Medical Group Inc | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889
801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800
5 Ludwig Dr
Fairview Heights, IL 62208
Phone (618) 397-9000
1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
3051 Hollis Dr
Springfield, IL 62704
Phone (217) 523-5406
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Belleville, IL
- NPI 1841613403
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1962644807
-
- Emergency Medicine Physician
- Effingham, IL
- NPI 1306334198
-
- Hospitalist Physician
- Bloomington, IL
- NPI 1669276523
-
- Hospitalist Physician
- O Fallon, IL
- NPI 1720587918
-
- Rural Health Clinic/Center
- Dieterich, IL
- NPI 1033841192
-
- Skilled Nursing Facility
- Pana, IL
- NPI 1215037353
-
- Emergency Medicine Physician
- O Fallon, IL
- NPI 1487142022
-
- Rural Health Clinic/Center
- Rushville, IL
- NPI 1487719480
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
- Home Health Agency
- Effingham, IL
- NPI 1891758678
-
- General Acute Care Hospital
- O Fallon, IL
- NPI 1629057302
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
-
- Rural Health Clinic/Center
- Breese, IL
- NPI 1013002658
Hospital
-
- General Acute Care Hospital
- Breese, IL
- NPI 1457319154
-
- Critical Access Hospital
- Highland, IL
- NPI 1447352323
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672358400000",
"number": "1447713409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 LUDWIG DR",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622081332",
"telephone_number": "618-397-9000",
"fax_number": "618-397-9003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 LUDWIG DR",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622081332",
"telephone_number": "618-397-9000",
"fax_number": "618-397-9003"
}
],
"practiceLocations": [
{
"address_1": "3 Saint Elizabeth Blvd Ste 4000",
"address_purpose": "LOCATION",
"city": "O Fallon",
"state": "IL",
"postal_code": "622691284",
"country_code": "US",
"telephone_number": "618-233-7880 x44405",
"fax_number": "618-222-4792",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHENCK",
"first_name": "JEFFREY",
"middle_name": "MICHAEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-08",
"last_updated": "2022-12-30",
"certification_date": "2022-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036157832",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jschenck257317@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "5 Ludwig Dr",
"city": "Fairview Heights",
"state": "IL",
"country_code": "US",
"postal_code": "622081332",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairview Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.