Active NPI
Peter Schulam, M.D.
- Urology Physician
- New Haven, CT
National Provider Identifier
1487674768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 50525
- Practice address
- 20 York St, NP-4
Smilow Cancer Center - Ynhh
New Haven, CT 06510-3202 - Phone
- (203) 200-4822
- Fax
- (203) 200-2099
- NPI assigned
- Jul 20, 2006
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | A71468 | CA | |
| Urology Physician | 208800000X | 50525 | CT | Primary |
Addresses
Primary practice location
20 York St, NP-4
Smilow Cancer Center - Ynhh
New Haven, CT 06510-3202
Mailing address
P.O. Box 208041, FMP 316
Yale School of Medicine, Dept of Urology
New Haven, CT 06520-8041
Phone (203) 785-2815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A714680 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Past | Accepting new patients | |
| Yale University | Past | Accepting new patients |
Interoperability endpoints
- pschulam63827@direct.ynhh.org
Organizations & group practices 2
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.
-
- Health Service Clinic/Center
- New Haven, CT
- NPI 1093862740
-
- Anesthesiology Physician
- New Haven, CT
- NPI 1205822236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344902400000",
"number": "1487674768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 208041, FMP 316",
"address_2": "YALE SCHOOL OF MEDICINE, DEPT OF UROLOGY",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065208041",
"telephone_number": "203-785-2815",
"fax_number": "203-785-4043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK ST, NP-4",
"address_2": "SMILOW CANCER CENTER - YNHH",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103202",
"telephone_number": "203-200-4822",
"fax_number": "203-200-2099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULAM",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2012-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "A71468",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CT",
"license": "50525",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A714680",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.