Active NPI
Kevin Mark Schnibben, M.D.
- Family Medicine Physician
- Anderson, IN
National Provider Identifier
1740397371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01051303A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01051303A | IN | MD | Family Medicine Physician |
Interoperability endpoints
- 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.