Active NPI
John Robert Schreiber, MD
- Pediatric Infectious Diseases Physician
- Hartford, CT
National Provider Identifier
1518049022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- 64058
- Practice address
- 282 Washington St
Hartford, CT 06106-3322 - Phone
- (860) 545-9000
- NPI assigned
- Oct 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 48988 | MA | |
| Pediatric Infectious Diseases Physician | 2080P0208X | 67425 | WI | |
| Pediatric Infectious Diseases Physician | 2080P0208X | 48988 | MA | |
| Pediatric Infectious Diseases Physician | 2080P0208X | 64058 | CT | Primary |
Addresses
Primary practice location
282 Washington St
Hartford, CT 06106-3322
Mailing address
Connecticut Children's Specialty Group
282 Washington SRT.
Hartford, CT 06106-3322
Phone (860) 545-9000
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2213941 | Other | MN | ARAZ |
| 604R0SC | Other | MN | BLUE CROSS BLUE SHIELD |
| 0079832 | Medicaid | MT | |
| 132251 | Other | MN | UCARE |
| 547407800 | Medicaid | MN | |
| 92-12094 | Other | MN | MEDICA PRIMARY |
| 0079822 | Medicaid | MT | |
| 9200168 | Other | MN | MEDICA CHOICE |
| 34565100 | Medicaid | WI | |
| HP45306 | Other | MN | HEALTH PARTNERS |
| 0597468 | Medicaid | IA | |
| 1518049022 | Medicaid | WI | |
| 1042021 | Other | MN | PREFERRED ONE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jschreiber50144@connecticutchildrens.direct-ci.com | Connecticut Children's Specialty Group, Inc. | |
| CONNECT URL | Hartford | Direct |
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 |
|---|---|---|---|
| 67425 | WI | MD | Pediatric Infectious Diseases Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1518049022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CONNECTICUT CHILDREN'S SPECIALTY GROUP",
"address_2": "282 WASHINGTON SRT.",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063322",
"telephone_number": "860-545-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 WASHINGTON ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063322",
"telephone_number": "860-545-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHREIBER",
"first_name": "JOHN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "48988",
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "WI",
"license": "67425",
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "MA",
"license": "48988",
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "CT",
"license": "64058",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "2213941",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "604R0SC",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0079832",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "132251",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "547407800",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PRIMARY",
"identifier": "92-12094",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0079822",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA CHOICE",
"identifier": "9200168",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34565100",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP45306",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0597468",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1518049022",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1042021",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jschreiber50144@connecticutchildrens.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Connecticut Children's Specialty Group, Inc.",
"address_1": "282 Washington St",
"city": "Hartford",
"state": "CT",
"country_code": "US",
"postal_code": "061063322",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Hartford",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "Connecticut Children's Specialty Group",
"address_2": "282 Washington St.",
"city": "Hartford",
"state": "CT",
"country_code": "US",
"postal_code": "06101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.