Individual provider Active NPI

Wolfgang Walter Schmidt-Nowara, MD

  • Pulmonary Disease Physician
  • Santa Fe, NM
National Provider Identifier
1669475208
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
74-235 Issued in NM
Practice address
530A Harkle Rd
Santa Fe, NM 87505-4713
Phone
(505) 983-8512
Fax
(888) 870-8508
NPI assigned
May 27, 2005
Last updated
Jan 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X K3847 TX
Pulmonary Disease Physician 207RP1001X 74-235 NM Primary

Addresses

Primary practice location

530A Harkle Rd
Santa Fe, NM 87505-4713

Mailing address

4331 Brookview Dr
Dallas, TX 75220
Phone (214) 904-0042

Other identifiers 1

IdentifierTypeStateIssuer
038246701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20050802000050 NM Practitioner - Sleep MedicinePractitioner - Pulmonary Disease 7315975299 Practice locations: Santa Fe, NM

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3847TXMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Medicine Associates of Texas, PA Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1669475208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4331 BROOKVIEW DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75220",
            "telephone_number": "214-904-0042",
            "fax_number": "888-870-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530A HARKLE RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054713",
            "telephone_number": "505-983-8512",
            "fax_number": "888-870-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT-NOWARA",
        "first_name": "WOLFGANG",
        "middle_name": "WALTER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "K3847",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NM",
            "license": "74-235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038246701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.