Individual provider Active NPI

Michael Kenneth Schowalter, M.D.

  • Dermatology Physician
  • Lombard, IL
National Provider Identifier
1780028332
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036146297 Issued in IL
Practice address
820 Springer Dr
Lombard, IL 60148-6413
Phone
(815) 744-8554
Fax
(630) 495-1770
NPI assigned
Apr 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 036146297 IL
Dermatology Physician 207N00000X 036146297 IL Primary

Addresses

Primary practice location

820 Springer Dr
Lombard, IL 60148-6413

Mailing address

820 Springer Dr
Lombard, IL 60148-6413
Phone (724) 493-2876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, MI, TN, MN, VA, NC, DC, AZ, WV, TX11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
I20180817002895 IN Practitioner - Pathology 9335413509 Reassigns benefits to 1 organization
I20180823002772 IL Practitioner - DermatologyPractitioner - Pathology 9335413509 Reassigns benefits to 1 organization
I20181008003108 MI Practitioner - Pathology 9335413509 Reassigns benefits to 1 organization
I20200415002856 TN Practitioner - DermatologyPractitioner - Pathology 9335413509 Reassigns benefits to 2 organizations
I20201015000095 MN Practitioner - DermatologyPractitioner - Pathology 9335413509 Reassigns benefits to 1 organization
I20201015000254 VA Practitioner - DermatologyPractitioner - Pathology 9335413509 Reassigns benefits to 1 organization
I20201117000117 NC Practitioner - DermatologyPractitioner - Pathology 9335413509 Reassigns benefits to 2 organizations
I20210216001175 DC Practitioner - DermatologyPractitioner - Pathology 9335413509 Reassigns benefits to 1 organization
I20221207000854 AZ Practitioner - DermatologyPractitioner - Pathology 9335413509 Reassigns benefits to 1 organization
I20230216000970 WV Practitioner - Dermatology 9335413509 Reassigns benefits to 1 organization
I20230614003337 TX Practitioner - Dermatology 9335413509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

10512 Park Rd
Suite 113
Charlotte, NC 28210-8469
Phone (704) 542-8018

1124 Essington Rd
Suite a
Joliet, IL 60435-8442
Phone (815) 744-8554

1725 Medical Ctr Pkwy
Suite 300
Murfreesboro, TN 37129-2250
Phone (615) 893-4100

3501 Enterprise Ave
Valparaiso, IN 46383-6953
Phone (815) 744-8554

3655 Plymouth Blvd
Suite 110
Plymouth, MN 55446-3665
Phone (612) 486-4200

37605 Pembroke Ave
Livonia, MI 48152-1050
Phone (734) 591-7931

4040 Medical Park Dr
Odessa, TX 79765-2233
Phone (432) 217-0344

9500 E Ironwood Square Dr
Suite 110
Scottsdale, AZ 85258-4582
Phone (480) 948-8400

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions606
Removal or shaving of skin growth12
Skin biopsy152

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036146297ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Surgery Center PA CurrentSince Mar 1, 2023 Accepting new patients
Dermatology and Plastic Surgery Associates, S.C. CurrentSince Aug 1, 2018 Accepting new patients
Cumberland Skin Surgery and Dermatology CurrentSince Feb 1, 2023 Accepting new patients
Skin Surgery Center PA Dermatology CurrentSince Mar 1, 2023 Accepting new patients
Audrey Bruell, M.D. P.C. Dermatology Current Accepting new patients

Locations

1124 Essington Rd
Ste A
Joliet, IL 60435

1124 Essington Rd
Joliet, IL 60435
Phone (815) 373-1004

2500 S Highland Ave
Ste 320
Lombard, IL 60148
Phone (630) 793-8193

3501 Enterprise Ave
Valparaiso, IN 46383

37605 Pembroke Ave
Livonia, MI 48152
Phone (734) 591-7931

10512 Park Rd
Ste 113
Charlotte, NC 28210
Phone (704) 289-9448

701 E Roosevelt Blvd
Ste 200A
Monroe, NC 28112
Phone (704) 282-8276

1450 Professional Park Dr
Winston Salem, NC 27103
Phone (336) 724-2434

107 Glidepath Way
Lebanon, TN 37090
Phone (615) 449-5771

1670 W Main St
Ste 140
Lebanon, TN 37087
Phone (615) 453-9492

1725 Medical Center Pkwy
Ste 300
Murfreesboro, TN 37129

24 White Bridge Pike
Nashville, TN 37205
Phone (615) 352-0011

5073 Main St
Ste 140
Spring Hill, TN 37174
Phone (615) 861-4444

Interoperability endpoints

  • Direct secure messaging: mshowalter@directaddress.net
  • Direct secure messaging: michael.schowalter@qdp.emadirect.md
  • Direct secure messaging: mschowalter@pinnacleskin.emadirect.md

Organizations & group practices 6

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": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1780028332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SPRINGER DR",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486413",
            "telephone_number": "724-493-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SPRINGER DR",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486413",
            "telephone_number": "815-744-8554",
            "fax_number": "630-495-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOWALTER",
        "first_name": "MICHAEL",
        "middle_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-25",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "IL",
            "license": "036146297",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036146297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.