Active NPI
John R Schmitt, MD
- Internal Medicine Physician
- Royal Oak, MI
National Provider Identifier
1619968401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301037521
- Practice address
- 950 N Main St
Royal Oak, MI 48067-1840 - Phone
- (248) 642-7575
- Fax
- (248) 258-9329
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301037521 | MI | Primary |
Addresses
Primary practice location
950 N Main St
Royal Oak, MI 48067-1840
Mailing address
130 Town Center Dr Ste 203
Troy, MI 48084-1744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619968401 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John R Schmitt MD PC | Internal Medicine | Current | Accepting new patients |
Locations
17412 W 13 Mile Rd
Beverly Hills, MI 48025
Phone (248) 258-8740
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.
-
- Internal Medicine Physician
- Beverly Hills, MI
- NPI 1306013792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502755200000",
"number": "1619968401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 TOWN CENTER DR STE 203",
"city": "TROY",
"state": "MI",
"postal_code": "480841744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 N MAIN ST",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480671840",
"telephone_number": "248-642-7575",
"fax_number": "248-258-9329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMITT",
"first_name": "JOHN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2017-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301037521",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619968401",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.