Active NPI
James Schelberg, DPM
- Podiatrist
- Detroit, MI
National Provider Identifier
1538200019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901000836
- Practice address
- 500 Griswold St
Ste 1B
Detroit, MI 48226-3480 - Phone
- (313) 962-4555
- NPI assigned
- Feb 9, 2007
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901000836 | MI | Primary |
Addresses
Primary practice location
500 Griswold St
Ste 1B
Detroit, MI 48226-3480
Mailing address
500 Griswold St
Ste 1B
Detroit, MI 48226-3480
Phone (313) 962-4555
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13-1440728 | Medicaid | MI | |
| 5825014 | Other | MI | BLUE CROSS-PLYMOUTH |
| 791480531A | Other | MI | RAILROAD MEDICARE |
| 791480531 | Other | MI | RAILROAD MEDICARE DETROIT |
| 0P57800 | Other | MI | MEDICARE PTAN |
| 13-2097616 | Medicaid | MI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5901000836 | MI | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1538200019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 GRISWOLD ST",
"address_2": "STE 1B",
"city": "DETROIT",
"state": "MI",
"postal_code": "482263480",
"telephone_number": "313-962-4555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 GRISWOLD ST",
"address_2": "STE 1B",
"city": "DETROIT",
"state": "MI",
"postal_code": "482263480",
"telephone_number": "313-962-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHELBERG",
"first_name": "JAMES",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "5901000836",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13-1440728",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-PLYMOUTH",
"identifier": "5825014",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "791480531A",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE DETROIT",
"identifier": "791480531",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0P57800",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13-2097616",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.