Active NPI
Stefanie Alida Schultis, M.D.
- Specialist
- Covington, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 018419
- Practice address
- 110 Lakeview Dr
Suite 100
Covington, LA 70433-7509 - Phone
- (985) 898-1940
- Fax
- (985) 893-3427
- NPI assigned
- Jul 5, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 018419 | LA | Primary |
Addresses
Primary practice location
110 Lakeview Dr
Suite 100
Covington, LA 70433-7509
Mailing address
110 Lakeview Dr
Suite 100
Covington, LA 70433-7509
Phone (985) 898-1940
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1389579 | Medicaid | LA | |
| 721166765 | Other | LA | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Tulane University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
110 Lakeview Dr
Suite 100
Covington, LA 70433-7511
Phone (985) 898-1940
Hospital & facility affiliations
- St Tammany Parish Hospital
- East Jefferson General Hospital
- Avala
- Slidell Memorial Hospital
- Ochsner Medical Center Acute
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018419 | LA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stefanie a. Schultis, M.D., a.P.M.C. | Specialist | Current | Accepting new patients |
Locations
110 Lakeview Dr
Ste 100
Covington, LA 70433
Phone (985) 892-4544
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.
-
- Specialist
- Covington, LA
- NPI 1033356928
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Covington, LA
- NPI 1851487086
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Slidell, LA
- NPI 1578568481
-
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555977600000",
"number": "1528065521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LAKEVIEW DR",
"address_2": "SUITE 100",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337509",
"telephone_number": "985-898-1940",
"fax_number": "985-893-3427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LAKEVIEW DR",
"address_2": "SUITE 100",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337509",
"telephone_number": "985-898-1940",
"fax_number": "985-893-3427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTIS",
"first_name": "STEFANIE",
"middle_name": "ALIDA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-05",
"last_updated": "2019-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "018419",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1389579",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "721166765",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.