Individual provider Active NPI

Richard N Schmidt, M.D.

  • Otolaryngology Physician
  • Mequon, WI
National Provider Identifier
1518182724
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
34875 Issued in WI
Practice address
10610 N Port Washington Rd
Mequon, WI 53092-5013
Phone
(414) 771-6780
Fax
(414) 238-2424
NPI assigned
Apr 14, 2007
Last updated
Jan 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 34875 WI Primary

Addresses

Primary practice location

10610 N Port Washington Rd
Mequon, WI 53092-5013

Mailing address

10001 W Innovation Dr Ste 200
Wauwatosa, WI 53226-4851
Phone (888) 938-3838

Other practice location 1

1360 Pabst Farms Cir Ste B
Oconomowoc, WI 53066-4854
Phone (888) 938-3838

Other identifiers 1

IdentifierTypeStateIssuer
31975200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080118000689 WI Practitioner - Otolaryngology 9638250319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Michigan Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2885 N Mayfair Rd
Milwaukee, WI 53222-4404
Phone (888) 938-3838

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Nov 6, 2007 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Nov 6, 2007 Accepting new patients
Advanced Ear Nose & Throat Specialists, SC CurrentSince Oct 1, 2018 Accepting new patients
Advanced Ear Nose & Throat Specialists, SC Otolaryngology CurrentSince Oct 1, 2018 Accepting new patients

Locations

2654 S Oneida St
Stop 102
Green Bay, WI 54304

4781 Hayes Rd
Ste 101
Madison, WI 53704

10610 N Port Washington Rd
Mequon, WI 53092
Phone (262) 923-7879

2311 N Prospect Ave
Milwaukee, WI 53211
Phone (414) 319-3000

500 W Drexel Ave
Ste 300
Oak Creek, WI 53154

1317 W Grand Ave
Prt Washingtn, WI 53074
Phone (262) 268-6998

2108 Kohler Memorial Dr
Ste 100
Sheboygan, WI 53081

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

10001 W Innovation Dr
Ste 200
Wauwatosa, WI 53226

2885 N Mayfair Rd
Wauwatosa, WI 53222
Phone (414) 615-7048

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1518182724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W INNOVATION DR STE 200",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264851",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10610 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925013",
            "telephone_number": "414-771-6780",
            "fax_number": "414-238-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 Pabst Farms Cir Ste B",
            "address_purpose": "LOCATION",
            "city": "Oconomowoc",
            "state": "WI",
            "postal_code": "530664854",
            "country_code": "US",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "RICHARD",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WI",
            "license": "34875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31975200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

Verify at the official NPI Registry.