Individual provider Active NPI

Justin Paul Schultz, D.O.

  • Surgery Physician
  • Lansing, MI
National Provider Identifier
1770933772
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101022762 Issued in MI
Practice address
1200 E Michigan Ave Ste 655
Lansing, MI 48912-1837
Phone
(517) 267-2460
NPI assigned
Jun 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101022762 MI Primary

Addresses

Primary practice location

1200 E Michigan Ave Ste 655
Lansing, MI 48912-1837

Mailing address

1200 E Michigan Ave Ste 655
Lansing, MI 48912-1837
Phone (517) 267-2460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210714002578 AZ Practitioner - Urology 8123428729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Justin P Schultz DO PCGroup PAC ID 1951701556, 2 clinicians

Practice addresses (Care Compare)

6007 E Baseline Rd
Suite 105
Mesa, AZ 85206-4801
Phone (480) 897-2727

Hospital & facility affiliations

  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
  • Cobre Valley Regional Medical Center Hospital, Globe, AZ, CCN 031314

Merit-based Incentive Payment System (MIPS)

Final score
97.5 of 100Reported as individual
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101022762MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Justin P Schultz DO PC Urology CurrentSince Aug 1, 2021 Accepting new patients

Locations

6007 E Baseline Rd
Ste 105
Mesa, AZ 85206
Phone (480) 897-2727

6003 E Baseline Rd
Mesa, AZ 85206
Phone (480) 641-6500

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1770933772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE STE 655",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121837",
            "telephone_number": "517-267-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE STE 655",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121837",
            "telephone_number": "517-267-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "JUSTIN",
        "middle_name": "PAUL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101022762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.