Individual provider Active NPI

Alan Lee Schwartz, M.D.

  • Pediatrics Physician
  • Indianapolis, IN
National Provider Identifier
1780679076
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01038581A Issued in IN
Practice address
8424 Naab Rd
Suite 3-L
Indianapolis, IN 46260-1975
Phone
(317) 879-9777
Fax
(317) 879-9788
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01038581A IN Primary

Addresses

Primary practice location

8424 Naab Rd
Suite 3-L
Indianapolis, IN 46260-1975

Mailing address

8424 Naab Rd
Suite 3-L
Indianapolis, IN 46260-1975
Phone (317) 879-9777

Other identifiers 2

IdentifierTypeStateIssuer
100216570AMedicaidIN
000000328121OtherININDIANA ANTHEM/WELLPOINT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190603000024 IN Practitioner - Pediatric Medicine 7719210087 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01038581AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Group Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alan.schwartz.1@7598.direct.athenahealth.com

Organizations & group practices 2

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1780679076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 NAAB RD",
            "address_2": "SUITE 3-L",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601975",
            "telephone_number": "317-879-9777",
            "fax_number": "317-879-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 NAAB RD",
            "address_2": "SUITE 3-L",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601975",
            "telephone_number": "317-879-9777",
            "fax_number": "317-879-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "ALAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01038581A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100216570A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA ANTHEM/WELLPOINT",
            "identifier": "000000328121",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.