Individual provider Active NPI

Abigail Lipshutz Schildcrout, MD

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1801050729
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301070111 Issued in MI
Practice address
7430 2ND Ave Ste 210
Detroit, MI 48202-2705
Phone
(313) 590-9125
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301070111 MI Primary

Addresses

Primary practice location

7430 2ND Ave Ste 210
Detroit, MI 48202-2705

Mailing address

7430 2ND Ave Ste 210
Detroit, MI 48202-2705
Phone (313) 590-9125

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301070111MIMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: schildcrout.abigail.1@19270.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1801050729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 2ND AVE STE 210",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022705",
            "telephone_number": "313-590-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 2ND AVE STE 210",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022705",
            "telephone_number": "313-590-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILDCROUT",
        "first_name": "ABIGAIL",
        "middle_name": "LIPSHUTZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301070111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.