Individual provider Active NPI

Jeffrey R Schmidt, D.P.M.

  • Podiatrist
  • Mitchell, SD
National Provider Identifier
1598769457
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
147 Issued in SD
Practice address
501 S Ohlman St
Mitchell, SD 57301-3108
Phone
(605) 996-8171
Fax
(605) 996-8171
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 147 SD Primary

Addresses

Primary practice location

501 S Ohlman St
Mitchell, SD 57301-3108

Mailing address

PO Box 932
Mitchell, SD 57301-0932
Phone (605) 996-8171

Other identifiers 5

IdentifierTypeStateIssuer
6800422MedicaidSD
9152040MedicaidSD
22403OtherSDSIOUX VALLEY HEALTH PLANS
1642OtherSDAVERA HEALTH PLANS
480020837OtherSDRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070321000574 SD Practitioner - Podiatry 3779686241 Practice locations: Mitchell, SD

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 S Ohlman St
Mitchell, SD 57301-3108

501 S Ohlman St
Mitchell, SD 57301-3162
Phone (605) 996-8171

PO Box
Suite 932
Mitchell, SD 57301-0932

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1598769457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573010932",
            "telephone_number": "605-996-8171",
            "fax_number": "605-996-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S OHLMAN ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573013108",
            "telephone_number": "605-996-8171",
            "fax_number": "605-996-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SD",
            "license": "147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6800422",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9152040",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLANS",
            "identifier": "22403",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVERA HEALTH PLANS",
            "identifier": "1642",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480020837",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

Verify at the official NPI Registry.