Individual provider Active NPI

Kevin Mark Schnibben, M.D.

  • Family Medicine Physician
  • Anderson, IN
National Provider Identifier
1740397371
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01051303A Issued in IN
Practice address
3125 S Scatterfield Rd Ste 100
Anderson, IN 46013-1802
Phone
(765) 644-5025
Fax
(765) 643-4534
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 01051303A IN Primary

Addresses

Primary practice location

3125 S Scatterfield Rd Ste 100
Anderson, IN 46013-1802

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kschnibben7924@eCommunityDirect.com Community Hospitals of Indiana, INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01051303AINMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: kschnibben7924@ecommunitydirect.com

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1740397371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 S SCATTERFIELD RD STE 100",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460131802",
            "telephone_number": "765-644-5025",
            "fax_number": "765-643-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNIBBEN",
        "first_name": "KEVIN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01051303A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kschnibben7924@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Hospitals of Indiana, INC",
            "address_1": "3125 S Scatterfield Rd Ste 100",
            "city": "Anderson",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460131802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.