Individual provider Active NPI

Adriana N Schmidt, MD

  • Dermatology Physician
  • Santa Monica, CA
National Provider Identifier
1619024502
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A112494 Issued in CA
Practice address
2001 Santa Monica Blvd Ste 990W
Santa Monica, CA 90404
Phone
(310) 829-4484
Fax
(310) 829-4481
NPI assigned
Jan 4, 2007
Last updated
Jul 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A112494 CA Primary

Addresses

Primary practice location

2001 Santa Monica Blvd Ste 990W
Santa Monica, CA 90404

Mailing address

2001 Santa Monica Blvd Ste 990W
Santa Monica, CA 90404-2155
Phone (310) 829-4484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100929001260 CA Practitioner - Dermatology 2062538861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Vanderbilt University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Monica Dermatology GroupGroup PAC ID 8123390986, 4 clinicians

Practice addresses (Care Compare)

2001 Santa Monica Blvd
Suite 990W
Santa Monica, CA 90404-2155
Phone (310) 829-4484

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions980
Removal of nail tissue1-10
Removal or shaving of skin growth190
Skin biopsy565

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A112494CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Monica Dermatology Group Dermatology CurrentSince Sep 1, 2017 Accepting new patients
Providence Saint John's Health Center Past Accepting new patients

Locations

2001 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 829-3401

2001 Santa Monica Blvd
Ste 990W
Santa Monica, CA 90404
Phone (310) 829-4481

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e1A5O_wfjp6bxazsKQMUgQtMMK_UwF9x/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1619024502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 990W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042155",
            "telephone_number": "310-829-4484",
            "fax_number": "310-829-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 990W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-829-4484",
            "fax_number": "310-829-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "ADRIANA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A112494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.