Carolyn Ann Schuman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G40376 Issued in CA

Practice address

2380 Ellsworth St
Suite a
Berkeley, CA 94704-1569

Phone

(510) 406-4874

Fax

(510) 665-4760

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Carolyn Ann Schuman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 25, 2016 through Jan 25, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1568532091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 ELLSWORTH ST",
            "address_2": "SUITE A",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041569",
            "telephone_number": "510-406-4874",
            "fax_number": "510-665-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 ELLSWORTH ST",
            "address_2": "SUITE A",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041569",
            "telephone_number": "510-406-4874",
            "fax_number": "510-665-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMAN",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G40376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G403760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "SCHUMAN",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tillie Schuhart
• Gioia Schuler
• Mary Schuler
• Jennifer Ann Schulmeister
• Nicole Schumacher
• Katherine Schumann
• Derek Daniel Schumm, M.D.
• Megan Schussman
• Ethan R Schwartz, PH.D.
• Fieda Schwartz, LCSW

• Internal Medicine Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.