Organization Active NPI

Melanie D Cloonan Schulte MD PC

  • Internal Medicine Physician
  • Chandler, AZ
National Provider Identifier
1669655460
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29046 Issued in AZ
Legal business name
MELANIE D CLOONAN SCHULTE MD PC
Practice address
595 N Dobson Rd
Suite D-76
Chandler, AZ 85224
Phone
(480) 821-0788
Fax
(480) 821-0837
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Authorized official

Name
Melanie D Cloonan Schulte, MDNPI 1376521914
Title
MD
Phone
(480) 821-9117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 29046 AZ Primary

Addresses

Primary practice location

595 N Dobson Rd
Suite D-76
Chandler, AZ 85224

Mailing address

595 N Dobson Rd
Suite D-76
Chandler, AZ 85224
Phone (480) 821-0788

Other identifiers 1

IdentifierTypeStateIssuer
597148MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040809001362 AZ Part B Supplier - Clinic/Group Practice 1052383106 Receives reassigned benefits from 1 practitioner
Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Locations

595 N Dobson Rd
Ste 76
Chandler, AZ 85224
Phone (480) 821-0788

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1669655460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 N DOBSON RD",
            "address_2": "SUITE D-76",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-821-0788",
            "fax_number": "480-821-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 N DOBSON RD",
            "address_2": "SUITE D-76",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-821-0788",
            "fax_number": "480-821-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE D CLOONAN SCHULTE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "CLOONAN SCHULTE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "480-821-9117",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "29046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "597148",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.