NPIMap

Individual provider Active NPI

Leslie Ann Schmitz, DO

  • Nephrology Physician
  • Mishawaka, IN
National Provider Identifier
1497873384
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
02003169A Issued in IN
Practice address
3665 Park PL W
Suite 300
Mishawaka, IN 46545-3566
Phone
(574) 607-4724
Fax
(574) 607-4725
NPI assigned
Mar 27, 2007
Last updated
Dec 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 02003169A IN Primary
Nephrology Physician 207RN0300X 036107587 IL

Addresses

Primary practice location

3665 Park PL W
Suite 300
Mishawaka, IN 46545-3566

Mailing address

PO Box 11596
Belfast, ME 04915-4006
Phone (574) 607-4724

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
I20070604000194 IN Practitioner - NephrologyPractitioner - Internal Medicine 5496727216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care of Michiana LLCGroup PAC ID 7810149309, 6 clinicians

Practice addresses (Care Compare)

2222 W Lexington
Elkhart, IN 46514-1420
Phone (574) 607-4724

515 Park Place
Suite 200
Mishawaka, IN 46545-3566

515 Park Place Cir
Suite 200
Mishawaka, IN 46545-3585
Phone (574) 607-4724

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
60.21 of 100Reported as individual
Quality
86.25
Improvement activities
0
Cost
69.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1031HIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care of Michiana LLC Nephrology CurrentSince Oct 15, 2012 Accepting new patients
Endeavor Health Medical Group Past Accepting new patients
Endeavor Health Medical Group Past Accepting new patients
Total Renal Care Inc PastSince Aug 1, 2014 Accepting new patients
North Shore Nephrology LTD Nephrology Past Accepting new patients

Locations

2222 W Lexington Ave
Elkhart, IN 46514
Phone (219) 294-3030

3665 Park Pl W
Ste 300
Mishawaka, IN 46545
Phone (574) 314-6436

515 Park Place Cir
Ste 200
Mishawaka, IN 46545
Phone (574) 607-4724

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5893/brand/1/csg/1/fhir/r4
  • Direct secure messaging: leslie.schmitz@direct.davitaphysiciansolutions.com

Organizations & group practices 5

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 8

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1497873384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11596",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154006",
            "telephone_number": "574-607-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 PARK PL W",
            "address_2": "SUITE 300",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453566",
            "telephone_number": "574-607-4724",
            "fax_number": "574-607-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITZ",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "02003169A",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036107587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.