Individual provider Active NPI

Theresa Lynn Schwartz, M.D.

  • Surgery Physician
  • Detroit, MI
National Provider Identifier
1831391598
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301096011 Issued in MI
Practice address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone
(800) 653-6568
NPI assigned
Jun 4, 2007
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301096011 MI Primary
Surgical Oncology Physician 2086X0206X 4301096011 MI

Addresses

Primary practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Mailing address

3635 Vista Ave
Desloge Towers--3Rd Floor
Saint Louis, MO 63110-2539
Phone (314) 268-5241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100817000100 MI Practitioner - General Surgery 8628102464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Saint Louis University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy62
Melanoma (skin cancer) excision39
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301096011MIMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Surgery CurrentSince Sep 1, 2020 Accepting new patients
Henry Ford Health System Current Accepting new patients
Envision Medical Group PLLC CurrentSince Feb 1, 2022 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Envision Medical Group PLLC CurrentSince Feb 1, 2022 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Breast Care Center at St. Luke's, LLC Surgery CurrentSince Sep 15, 2012 Accepting new patients
Henry Ford Health System CurrentSince Sep 1, 2020 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients
St. Luke's Breast Care Center Surgery PastSince Sep 15, 2012 Accepting new patients

Locations

1500 E Medical Center Dr
#D
Ann Arbor, MI 48109
Phone (734) 936-5823

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

19401 Hubbard Dr
Dearborn, MI 48126
Phone (313) 982-8100

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

2799 W Grand Blvd
#K8
Detroit, MI 48202
Phone (313) 916-1755

42931 7 Mile Rd
Northville, MI 48167
Phone (248) 348-2442

14500 Hall Rd
Sterling Hts, MI 48313
Phone (586) 247-2700

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

232 S Woods Mill Rd
Ste 200
Chesterfield, MO 63017
Phone (314) 205-6491

232 S Woods Mill Rd
Ste 200E
Chesterfield, MO 63017
Phone (314) 205-6491

Interoperability endpoints

  • FHIR API: https://fhir.hfhs.org/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: tschwartz691594@direct.hfhs.org

Organizations & group practices 26

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 26

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1831391598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 VISTA AVE",
            "address_2": "DESLOGE TOWERS--3RD FLOOR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102539",
            "telephone_number": "314-268-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "800-653-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301096011",
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "MI",
            "license": "4301096011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.