Individual provider Active NPI

Paul M Schoonman, D.C.

  • Chiropractor
  • Andover, MA
National Provider Identifier
1831290857
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1751 Issued in MA
Practice address
1 Dundee Park Dr
Suites 1 and 2
Andover, MA 01810-3726
Phone
(978) 474-4122
Fax
(978) 474-0171
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1751 MA Primary

Addresses

Primary practice location

1 Dundee Park Dr
Suites 1 and 2
Andover, MA 01810-3726

Mailing address

1 Dundee Park Dr
Suites 1 and 2
Andover, MA 01810-3726
Phone (978) 474-4122

Other identifiers 7

IdentifierTypeStateIssuer
0767240OtherMACIGNA HEALTHCARE
1612573MedicaidMA
4400157OtherMAUNITED HEALTHCARE
2060125OtherMAAETNA/US HEALTHCARE
Y36239OtherMDBLUECROSS BLUESHIELD
350270OtherMAHARVARD PILGRIM
764045OtherMATUFTS HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070907000016 MA Practitioner - Chiropractic 0042303026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kronos Health PLLCGroup PAC ID 3779881636, 9 clinicians

Practice addresses (Care Compare)

360 Merrimack St
Suite 9
Lawrence, MA 01843-1764
Phone (978) 655-6652

Hospital & facility affiliations

  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
81.11
Promoting interoperability
99
Improvement activities
40
Cost
81.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1751MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kronos Health PLLC CurrentSince Apr 1, 2020 Accepting new patients
Schoonman Chiropractic & Rehabilitation, LLC Chiropractor Past Accepting new patients

Locations

360 Merrimack St
Ste 9
Lawrence, MA 01843
Phone (978) 552-4000

Interoperability endpoints

  • Direct secure messaging: paul.schoonman.1@21969.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21969/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831290857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DUNDEE PARK DR",
            "address_2": "SUITES 1 AND 2",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103726",
            "telephone_number": "978-474-4122",
            "fax_number": "978-474-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DUNDEE PARK DR",
            "address_2": "SUITES 1 AND 2",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103726",
            "telephone_number": "978-474-4122",
            "fax_number": "978-474-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOONMAN",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "0767240",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1612573",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4400157",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "2060125",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "Y36239",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "350270",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "764045",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.