Individual provider Active NPI

Benjamin Schmidt, MD

  • Anesthesiology Physician
  • Berkeley, CA
National Provider Identifier
1821557786
Registry record updated Jun 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A180824 Issued in CA
Practice address
2001 Addison St Ste 329
Berkeley, CA 94704-1192
Phone
(510) 666-0854
Fax
(510) 666-1192
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A180824 CA Primary

Addresses

Primary practice location

2001 Addison St Ste 329
Berkeley, CA 94704-1192

Mailing address

2001 Addison St Ste 329
Berkeley, CA 94704-1192
Phone (510) 666-0854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20231019001760 CA Practitioner - Anesthesiology 5890141311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of California, San Diego School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Bay Anesthesiology Medical Group Inc 42 clinicians

Practice addresses (Care Compare)

350 Hawthorne Ave
Oakland, CA 94609-3108
Phone (510) 655-4000

Hospital & facility affiliations

  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A180824CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Anesthesiology Medical Group, Inc Anesthesiology CurrentSince Aug 23, 2023 Accepting new patients

Locations

2001 Addison St
Ste 329
Berkeley, CA 94704
Phone (510) 666-0854

350 Hawthorne Ave
Oakland, CA 94609
Phone (510) 655-4000

Interoperability endpoints

  • Direct secure messaging: bschmidt662945@hisp.ehr.sutterhealth.org

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 2

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687046400000",
    "number": "1821557786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 ADDISON ST STE 329",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041192",
            "telephone_number": "510-666-0854",
            "fax_number": "510-666-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ADDISON ST STE 329",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041192",
            "telephone_number": "510-666-0854",
            "fax_number": "510-666-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2023-06-18",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A180824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.