Individual provider Active NPI

Stephen Phillip Schmitter, M.D.

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1700963980
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A79565 Issued in CA
Practice address
2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688
Phone
(510) 683-9500
Fax
(877) 880-2039
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X A79565 CA
Nuclear Radiology Physician 2085N0904X A79565 CA
Diagnostic Radiology Physician 2085R0202X U0848 TX
Diagnostic Radiology Physician 2085R0202X 2022-03256 NC
Diagnostic Ultrasound Physician 2085U0001X A79565 CA
Diagnostic Radiology Physician 2085R0202X A79565 CA Primary

Addresses

Primary practice location

2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688

Mailing address

2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688
Phone (510) 683-9500

Other practice location 1

410 S Melrose Dr
Suite 104
Vista, CA 92081-6642
Phone (760) 806-4355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050707000360 CA Practitioner - Diagnostic Radiology 0042256497 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Stanford University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians

Practice addresses (Care Compare)

35800 Bob Hope Dr
Suite 150a
Rancho Mirage, CA 92270-1740
Phone (760) 770-1920

415 Rolling Oaks Dr
Thousand Oaks, CA 91361-1029
Phone (805) 778-1513

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-03256NCMDDiagnostic Radiology Physician
U0848TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care CurrentSince Aug 29, 2024 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Current Accepting new patients
Sutter Valley Medical Foundation Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Innovative Radiology PA Diagnostic Radiology CurrentSince Aug 5, 2024 Accepting new patients
Sutter Valley Medical Foundation Family Medicine Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jul 1, 2024 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Stanford Health Care Diagnostic Radiology CurrentSince Aug 29, 2024 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
North County Radiology Medical Group Body Imaging Past Accepting new patients
Palomar Health Past Accepting new patients
Associated Radiologists LTD PastSince Jan 1, 1991 Accepting new patients
Pet Imaging of North County, LLC PastSince Sep 1, 2005 Accepting new patients
Tri-City Hospital Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
San Diego Diagnostic Radiology Medical Group Inc Body Imaging Past Accepting new patients

Locations (25 of 29)

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

2301 Bahamas Dr
Bakersfield, CA 93309

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

3909 Waring Rd
Ste Bc
Oceanside, CA 92056
Phone (760) 630-0014

3909 Waring Rd
Ste C
Oceanside, CA 92056
Phone (760) 630-0014

72855 Fred Waring Dr
Palm Desert, CA 92260
Phone (760) 837-1420

2601 E Tahquitz Canyon Way
Palm Springs, CA 92262
Phone (760) 318-2980

35800 Bob Hope Dr
Ste 150A
Rancho Mirage, CA 92270
Phone (760) 770-1920

1625 Stockton Blvd
Ste 207
Sacramento, CA 95816
Phone (916) 878-3495

2950 Sycamore Dr
Ste 102
Simi Valley, CA 93065
Phone (805) 357-0067

300 Lombard St
Thousand Oaks, CA 91360
Phone (805) 495-1220

Interoperability endpoints

  • Direct secure messaging: stephen.schmitter.1@26298.direct.athenahealth.com

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1700963980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 OAK LAWN AVE UNIT 192749",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194688",
            "telephone_number": "510-683-9500",
            "fax_number": "877-880-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 OAK LAWN AVE UNIT 192749",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194688",
            "telephone_number": "510-683-9500",
            "fax_number": "877-880-2039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 S Melrose Dr",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920816642",
            "country_code": "US",
            "telephone_number": "760-806-4355",
            "fax_number": "760-806-4363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMITTER",
        "first_name": "STEPHEN",
        "middle_name": "PHILLIP",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "A79565",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "CA",
            "license": "A79565",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "U0848",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2022-03256",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "A79565",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A79565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.