Individual provider Active NPI

Dov Schuchman, MD

  • Gynecology Physician
  • Bloomfield Hills, MI
National Provider Identifier
1619935756
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
4301042149 Issued in MI
Practice address
2550 S Telegraph Rd
Suite 107B
Bloomfield Hills, MI 48302
Phone
(248) 334-4211
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 4301042149 MI Primary

Addresses

Primary practice location

2550 S Telegraph Rd
Suite 107B
Bloomfield Hills, MI 48302

Mailing address

Dept 77446
PO Box 77000
Detroit, MI 48277-0001
Phone (248) 334-4211

Other identifiers 1

IdentifierTypeStateIssuer
104271698MedicaidMI

Other names 1

  • Dov Schuchman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040629000957 MI Practitioner - Obstetrics/Gynecology 8921084948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2550 S Telegraph Rd
Bloomfield Hills, MI 48302-0951
Phone (248) 334-4211

Hospital & facility affiliations

  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301042149MIMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dov Schuchman MD PC Gynecology CurrentSince Apr 3, 2003 Accepting new patients

Locations

2550 S Telegraph Rd
Ste 107B
Bloomfield Hills, MI 48302
Phone (248) 334-4211

2550 S Telegraph Rd
Bloomfld Hls, MI 48302
Phone (248) 322-0001

Organizations & group practices 1

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.

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1619935756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 77446",
            "address_2": "PO BOX 77000",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482770001",
            "telephone_number": "248-334-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S TELEGRAPH RD",
            "address_2": "SUITE 107B",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "248-334-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUCHMAN",
        "first_name": "DOV",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MI",
            "license": "4301042149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104271698",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOV",
            "last_name": "SCHUCHMAN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.