Individual provider Active NPI

David J Schmeling, MD

  • Pediatric Surgery Physician
  • Minneapolis, MN
National Provider Identifier
1831150986
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
35312 Issued in MN
Practice address
2530 Chicago Ave
#550
Minneapolis, MN 55404-4289
Phone
(612) 813-8000
Fax
(612) 813-8005
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X 35312 MN Primary

Addresses

Primary practice location

2530 Chicago Ave
#550
Minneapolis, MN 55404-4289

Mailing address

2530 Chicago Ave
#550
Minneapolis, MN 55404-4289
Phone (612) 813-8000

Other identifiers 1

IdentifierTypeStateIssuer
367803200MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040202000007 MN Practitioner - Pediatric MedicinePractitioner - General Surgery 5496659385 Reassigns benefits to 1 organization
I20230821001901 SD Practitioner - Pediatric Medicine 5496659385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Minnesota Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centracare Health System - Sauk CentreGroup PAC ID 4981857216, shared by 3 NPIs, 24 clinicians

Practice addresses (Care Compare)

425 Elm St N
Sauk Centre, MN 56378-1010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35312MNMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Jun 28, 2023 Accepting new patients
Avera McKennan CurrentSince Jun 28, 2023 Accepting new patients
Pediatric Surgical Associates LTD Pediatric Surgery CurrentSince Jun 4, 2012 Accepting new patients
Gillette Children'S Specialty Healthcare Past Accepting new patients

Locations

4530 77th St W
Ste 205
Minneapolis, MN 55435
Phone (952) 835-3375

2530 Chicago Ave
Ste 550
Minneapolis, MN 55404
Phone (612) 810-8000

5354 Edgewood Dr
Saint Paul, MN 55112

Organizations & group practices 5

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1831150986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE",
            "address_2": "#550",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044289",
            "telephone_number": "612-813-8000",
            "fax_number": "612-813-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE",
            "address_2": "#550",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044289",
            "telephone_number": "612-813-8000",
            "fax_number": "612-813-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMELING",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MN",
            "license": "35312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367803200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.