Individual provider Active NPI

Chad Mitchell Schwalb, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Warren, MI
National Provider Identifier
1629456546
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002594 Issued in MI
Practice address
21647 Ryan Rd
Warren, MI 48091
Phone
(586) 754-7777
Fax
(586) 754-7781
NPI assigned
May 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002594 MI Primary

Addresses

Primary practice location

21647 Ryan Rd
Warren, MI 48091

Mailing address

3095 Shadydale LN
West Bloomfield, MI 48323-1853
Phone (248) 408-6540

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180709000882 MI Practitioner - Podiatry 6709185820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Schwalb DPM PLLCGroup PAC ID 4789945841, 2 clinicians

Practice addresses (Care Compare)

5755 W Maple Rd
Suite 115
West Bloomfield, MI 48322-4415
Phone (248) 626-7180

Hospital & facility affiliations

  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of skin lesions1-10
Removal of nail tissue96
Removal or shaving of skin growth35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002594MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Schwalb DPM PLLC Foot & Ankle Surgery CurrentSince Jul 1, 2018 Accepting new patients

Locations

21647 Ryan Rd
Warren, MI 48091
Phone (586) 754-7777

5755 W Maple Rd
Ste 115
West Bloomfield, MI 48322
Phone (248) 626-7180

Interoperability endpoints

  • Direct secure messaging: cschwalb@direct.dmc.org
  • Direct secure messaging: cschwalb1150640@direct.hfhs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1629456546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3095 SHADYDALE LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231853",
            "telephone_number": "248-408-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21647 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48091",
            "telephone_number": "586-754-7777",
            "fax_number": "586-754-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWALB",
        "first_name": "CHAD",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.