Individual provider Active NPI

Jennifer Sherman Schott, MD

  • Pediatrics Physician
  • Deerfield, IL
National Provider Identifier
1679503171
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036104266 Issued in IL
Practice address
400 Lake Cook Rd
Ste 119
Deerfield, IL 60015
Phone
(847) 945-3850
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036104266 IL Primary

Addresses

Primary practice location

400 Lake Cook Rd
Ste 119
Deerfield, IL 60015

Mailing address

49 S Waukegan Rd
Ste 100
Deerfield, IL 60015-5204
Phone (847) 945-3850

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jschott15171@direct.northshore.org
Direct Messaging Address jschott15171@direct.northshore.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20130624000620 IL Practitioner - Pediatric Medicine 1456590447 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Jul 1, 2013 Accepting new patients
Endeavor Health Medical Group Pediatrics CurrentSince Jul 1, 2013 Accepting new patients
Levy & Obrien Pediatrics Past Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

49 S Waukegan Rd
Deerfield, IL 60015
Phone (847) 400-8400

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

49 S Waukegan Rd
#100
Deerfield, IL 60015
Phone (847) 945-4575

49 S Waukegan Rd
Ste 100
Deerfield, IL 60015
Phone (847) 945-4575

2650 Ridge Ave
Rm 1223
Evanston, IL 60201
Phone (847) 570-1644

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

Interoperability endpoints

  • Direct secure messaging: jschott15171@direct.northshore.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1679503171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 S WAUKEGAN RD",
            "address_2": "STE 100",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155204",
            "telephone_number": "847-945-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAKE COOK RD",
            "address_2": "STE 119",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "60015",
            "telephone_number": "847-945-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOTT",
        "first_name": "JENNIFER",
        "middle_name": "SHERMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036104266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jschott15171@direct.northshore.org",
            "affiliation": "N",
            "address_1": "400 Lake Cook Rd",
            "address_2": "Ste 119",
            "city": "Deerfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jschott15171@direct.northshore.org",
            "affiliation": "N",
            "address_1": "400 Lake Cook Rd",
            "address_2": "Ste 119",
            "city": "Deerfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

Verify at the official NPI Registry.