Michael A Schwartzman, DPM
Individual provider Active NPI Podiatrist · Whiting, IN
NPI 1477547131 · NPPES record last updated Dec 11, 2015
Key facts
- NPI
- 1477547131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 07000927A (IN)
- Practice address
- 1104 119TH St
Whiting, IN 46394-1515 - Phone
- (219) 659-3338
- Fax
- (219) 659-3668
- NPI assigned
- Sep 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Illinois Medical College, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Rehabilitation, LLC
Practice addresses (Care Compare)
1104 119TH St
Whiting, IN 46394-1515
Phone (219) 659-3338
1213 Joliet St
Suite C
West Chicago, IL 60185-3700
Phone (630) 293-3668
2600 Compass Rd
Glenview, IL 60026-8001
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1397 |
| Removal or shaving of skin growth | 1281 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110801000165 | IL | Practitioner - Podiatry | 1759597461 | Reassigns benefits to 1 organization |
| I20111024000029 | IN | Practitioner - Podiatry | 1759597461 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07000927A | IN | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael a Schwartzman, DPM, LTD | Podiatrist | Current |
Accepting new patients |
| Michael a Schwartzman,DPM, LTD | Podiatrist | Past |
Accepting new patients |
| Michael a Schwartzman, DPM, LTD | Podiatrist | Past |
Accepting new patients |
Locations
400 Sullivan Rd
Aurora, IL 60506
Phone (630) 859-3400
1213 Joliet St
Ste C
West Chicago, IL 60185
Phone (630) 276-3831
1104 119th St
Whiting, IN 46394
Phone (219) 659-3338
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- mschwartzman@masdl-in.direct.office.nextgen.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 07000927A | IN | Yes |
Addresses
Primary practice location
1104 119TH St
Whiting, IN 46394-1515
Mailing address
1104 119TH St
Whiting, IN 46394-1515
Phone (219) 659-3338
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4788030001 | Other | IN | MEDICARE -DMERC |
| 90001073 | Other | IN | BC/BS |
| 1861660607 | Other | IN | DMERC BILLING NPI |
| 4788030002 | Other | IL | MEDICARE-DMERC PTAN |
| 016003402 | Medicaid | IL | |
| 200347600A | Medicaid | IN | |
| 364166383T | Other | IL | BC IL |
| 480032395 | Other | IN | RAILROAD RETIREMENT- RRMC |
Other providers in Whiting, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.