Active NPI
William Schwartau, M.D.
- Diagnostic Radiology Physician
- Hibbing, MN
National Provider Identifier
1497846174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MN25090
- Practice address
- 750 E 34TH St
Hibbing, MN 55746-2341 - Phone
- (218) 362-6683
- Fax
- (218) 362-6684
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MN25090 | MN | Primary |
Addresses
Primary practice location
750 E 34TH St
Hibbing, MN 55746-2341
Mailing address
750 E 34TH St
Hibbing, MN 55746-2341
Phone (218) 362-6683
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 087K3SC | Other | MN | BLUE CROSS BLUE SHIELD |
| 397277100 | Medicaid | MN | |
| 1602542 | Other | MN | MEDICA |
| P00037009 | Other | MN | RAILROAD MEDICARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MN25090 | MN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic, LTD. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1497846174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E 34TH ST",
"city": "HIBBING",
"state": "MN",
"postal_code": "557462341",
"telephone_number": "218-362-6683",
"fax_number": "218-362-6684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E 34TH ST",
"city": "HIBBING",
"state": "MN",
"postal_code": "557462341",
"telephone_number": "218-362-6683",
"fax_number": "218-362-6684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTAU",
"first_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "MN25090",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "087K3SC",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "397277100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "1602542",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00037009",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hibbing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.