Active NPI
Michael P Schwartz, MD
- Diagnostic Radiology Physician
- Geneva, IL
National Provider Identifier
1700838562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036042528
- Practice address
- 1416C S Randall Rd
Randall Squar Shopping Center
Geneva, IL 60134-4682 - Phone
- (630) 208-9325
- Fax
- (630) 208-9326
- NPI assigned
- May 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | 036042528 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 036042528 | IL | Primary |
Addresses
Primary practice location
1416C S Randall Rd
Randall Squar Shopping Center
Geneva, IL 60134-4682
Mailing address
1121 Lake Cook Rd
Ste M
Deerfield, IL 60015-5234
Phone (847) 945-4550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036042528 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cdi Geneva LLC | Diagnostic Radiology | 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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Geneva, IL
- NPI 1245490903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473984000000",
"number": "1700838562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 LAKE COOK RD",
"address_2": "STE M",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600155234",
"telephone_number": "847-945-4550",
"fax_number": "847-948-8103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1416C S RANDALL RD",
"address_2": "RANDALL SQUAR SHOPPING CENTER",
"city": "GENEVA",
"state": "IL",
"postal_code": "601344682",
"telephone_number": "630-208-9325",
"fax_number": "630-208-9326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "MICHAEL",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2016-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "IL",
"license": "036042528",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036042528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036042528",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.