John Paul Schacht, D.O.
Individual provider Active NPI Clinical Genetics (M.D.) Physician · WR (8901 Rockville Pike, Bethesda, MD 20, MD
NPI 1760801047 · NPPES record last updated Jun 25, 2024
Key facts
- NPI
- 1760801047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Genetics (M.D.) Physician 207SG0201X
- License
- 1447 (NE)
- Practice address
- WR, 8901 Rockville Pike, Bethesda, MD 20889
America Buidling, 4TH Floor, Room 4044
WR (8901 Rockville Pike, Bethesda, MD 20, MD 20889 - Phone
- (301) 400-1623
- Fax
- (301) 319-0290
- NPI assigned
- Apr 15, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190117003135 | PA | Order and Referring Only - Medical Genetics and Genomics |
0840536462 | |
| I20190725002373 | NE | Order and Referring Only - Medical Genetics and Genomics |
0840536462 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1447 | NE | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 1447 | NE | |
| Clinical Genetics (M.D.) Physician | 207SG0201X | 1447 | NE | Yes |
Addresses
Primary practice location
WR, 8901 Rockville Pike, Bethesda, MD 20889
America Buidling, 4TH Floor, Room 4044
WR (8901 Rockville Pike, Bethesda, MD 20, MD 20889
Mailing address
WR (8901 Rockville Pike Bethesda MD 20889)
Bethesda, MD 20889-0001
Phone (301) 400-1623
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.