Individual provider Active NPI

Michael Jonathan Schultz, M.D.

  • Surgery Physician
  • Baltimore, MD
National Provider Identifier
1578560967
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0014343 Issued in MD
Practice address
1700 Reisterstown Rd Ste 102
Baltimore, MD 21208-2978
Phone
(410) 469-5555
Fax
(410) 469-5484
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0014343 MD Primary

Addresses

Primary practice location

1700 Reisterstown Rd Ste 102
Baltimore, MD 21208-2978

Mailing address

1700 Reisterstown Rd Ste 102
Baltimore, MD 21208-2978
Phone (410) 469-5555

Other practice location 1

2700 Quarry Lake Dr Ste 220
Baltimore, MD 21209-3769
Phone (410) 469-5555

Other practice location 2

7505 Osler Dr
Suite 502
Towson, MD 21204-7736
Phone (410) 427-5510

Other identifiers 1

IdentifierTypeStateIssuer
318221500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20051214000551 MD Practitioner - General Surgery 7315968682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
7.58 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
25.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0014343MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Dec 1, 2012 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Dec 22, 2020 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Dec 1, 2012 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Dec 22, 2020 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Saint Joseph Medical Center , Inc. Past Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients
St. Joseph Physician Enterprise Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

2435 W Belvedere Ave
Ste 4
Baltimore, MD 21215
Phone (410) 601-5547

2700 Quarry Lake Dr
Ste 220
Baltimore, MD 21209
Phone (410) 469-5555

1700 Reisterstown Rd
Ste 102
Pikesville, MD 21208
Phone (410) 469-5555

7601 Osler Dr
Ste 265
Towson, MD 21204

7501 Osler Dr
Ste 205
Towson, MD 21204
Phone (410) 427-5510

7505 Osler Dr
Ste 204
Towson, MD 21204
Phone (410) 427-5555

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

7505 Osler Dr
Ste 502
Towson, MD 21204
Phone (410) 296-1464

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1578560967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 REISTERSTOWN RD STE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212082978",
            "telephone_number": "410-469-5555",
            "fax_number": "410-469-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 REISTERSTOWN RD STE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212082978",
            "telephone_number": "410-469-5555",
            "fax_number": "410-469-5484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Quarry Lake Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212093769",
            "country_code": "US",
            "telephone_number": "410-469-5555",
            "fax_number": "410-469-4811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7505 Osler Dr",
            "address_2": "Suite 502",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212047736",
            "country_code": "US",
            "telephone_number": "410-427-5510",
            "fax_number": "410-427-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "MICHAEL",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0014343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318221500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.