Individual provider Active NPI

Allan Schwartz, D.O.

  • Family Medicine Physician
  • Southfield, MI
National Provider Identifier
1740367168
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101007859 Issued in MI
Practice address
21310 Independence Dr
Southfield, MI 48076-5545
Phone
(248) 357-2912
Fax
(510) 743-4249
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101007859 MI Primary

Addresses

Primary practice location

21310 Independence Dr
Southfield, MI 48076-5545

Mailing address

21310 Independence Dr
Southfield, MI 48076-5545
Phone (248) 357-2912

Other identifiers 2

IdentifierTypeStateIssuer
0156303015OtherMIBLUE CROSS
1655392 11MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20110211000980 MI Practitioner - Family Practice 5496935157 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7859MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Accurate Care LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

25354 Evergreen Rd
Southfield, MI 48075
Phone (248) 402-1222

24371 W 10 Mile Rd
Southfield, MI 48033
Phone (248) 356-5273

28585 Schoenherr Rd
Warren, MI 48088
Phone (586) 393-5765

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.

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": "1299110400000",
    "number": "1740367168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21310 INDEPENDENCE DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765545",
            "telephone_number": "248-357-2912",
            "fax_number": "510-743-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21310 INDEPENDENCE DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765545",
            "telephone_number": "248-357-2912",
            "fax_number": "510-743-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101007859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0156303015",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1655392 11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.