Active NPI
Jessica Lynn Schum, MD
- Family Medicine Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 47960
- Practice address
- 11213 Bearcamp Rd
Louisville, KY 40272-1913 - Phone
- (502) 338-1370
- Fax
- (502) 337-3149
- NPI assigned
- Feb 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 47960 | KY | Primary |
Addresses
Primary practice location
11213 Bearcamp Rd
Louisville, KY 40272-1913
Mailing address
11213 Bearcamp Rd
Louisville, KY 40272-1913
Phone (502) 338-1370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100248360 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47960 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vohra Post Acute Care Physicians of the East, PA | Family Medicine | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Komg-Louisville Region Inc. | Family Medicine | Past | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
210 E Gray St
Ste 803
Louisville, KY 40202
Phone (502) 582-6900
10200 Forest Green Blvd
Ste 112
Louisville, KY 40223
Phone (502) 214-5343
5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226
215 Central Ave
Ste 100
Louisville, KY 40208
Phone (502) 588-8720
5129 Dixie Hwy
Ste 100
Louisville, KY 40216
Phone (502) 447-3242
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
Organizations & group practices 5
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.
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655424000000",
"number": "1578701223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11213 BEARCAMP RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402721913",
"telephone_number": "502-338-1370",
"fax_number": "502-337-3149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11213 BEARCAMP RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402721913",
"telephone_number": "502-338-1370",
"fax_number": "502-337-3149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUM",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-02",
"last_updated": "2022-06-17",
"certification_date": "2022-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "47960",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100248360",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.