Individual provider Active NPI

Jessica Lynn Schum, MD

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1578701223
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47960 Issued in KY
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

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100248360MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709001308 KY Practitioner - Family Practice 8921247404 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47960KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Post Acute Care Physicians of the East, PA Family Medicine CurrentSince Jan 15, 2018 Accepting new patients
University of Louisville Physicians, Inc. Family Medicine Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 9, 2019 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 9, 2019 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.

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

Verify at the official NPI Registry.