NPIMap

Individual provider Active NPI

Mark P Schmeltz, DO

  • Family Medicine Physician
  • Granger, IN
National Provider Identifier
1487653408
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02002103A Issued in IN
Practice address
12340 Bittersweet Commons Blvd W
Granger, IN 46530-6959
Phone
(574) 271-8610
Fax
(574) 271-8620
NPI assigned
Jul 20, 2005
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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 02002103A IN Primary

Addresses

Primary practice location

12340 Bittersweet Commons Blvd W
Granger, IN 46530-6959

Mailing address

3245 Health Dr
Ste 100
Granger, IN 46530-1380

Other identifiers 1

IdentifierTypeStateIssuer
200243660MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SCHMELTZ@mybeacon.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040910000164 IN Practitioner - Family Practice 9739156720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians

Practice addresses (Care Compare)

12340 Bittersweet Commons Blvd W
Beacon Medical Group Bittersweet
Granger, IN 46530-6959
Phone (574) 271-8610

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions21
Removal or shaving of skin growth1-10
Skin biopsy26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group, Inc. Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Beacon Medical Group, Inc. Family Medicine Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients

Locations

12340 Bittersweet Commons Blvd W
Granger, IN 46530
Phone (574) 271-8610

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (269) 552-2823

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610

Interoperability endpoints

  • Direct secure messaging: schmeltz@mybeacon.cernerdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1487653408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR",
            "address_2": "STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 BITTERSWEET COMMONS BLVD W",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465306959",
            "telephone_number": "574-271-8610",
            "fax_number": "574-271-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMELTZ",
        "first_name": "MARK",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02002103A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200243660",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SCHMELTZ@mybeacon.cernerdirect.com",
            "affiliation": "N",
            "address_1": "12340 Bittersweet Commons Blvd. West",
            "city": "Granger",
            "state": "IN",
            "country_code": "US",
            "postal_code": "456306959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granger, IN

Sources for this page

Verify at the official NPI Registry.