Individual provider Active NPI

Cristy Mark Schade, M.D.

  • Pain Medicine Physician
  • Mesquite, TX
National Provider Identifier
1841282290
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
F1971 Issued in TX
Practice address
3865 Childress Ave Ste a
Mesquite, TX 75150-2808
Phone
(972) 681-7246
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X F1971 TX
Interventional Pain Medicine Physician 208VP0014X F1971 TX
Pain Medicine Physician 208VP0000X F1971 TX Primary

Addresses

Primary practice location

3865 Childress Ave Ste a
Mesquite, TX 75150-2808

Mailing address

PO Box 850069
Mesquite, TX 75185-0069
Phone (972) 270-0600

Other practice location 1

1645 N Town East Blvd
Suite 146
Mesquite, TX 75150-4146
Phone (972) 270-0600

Other identifiers 3

IdentifierTypeStateIssuer
097798503MedicaidTX
097798504MedicaidTX
097798502MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040420001117 TX Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 8921093600 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F1971TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kikkeri International, PA CurrentSince Mar 1, 2016 Accepting new patients
Mesquite Professional Anesthesia, PA Anesthesiology CurrentSince Nov 13, 2018 Accepting new patients
Cristy M Schade MD PA PastSince Oct 21, 2004 Accepting new patients

Locations

3865 Childress Ave
Mesquite, TX 75150
Phone (972) 528-6090

3865 Childress Ave
Ste A
Mesquite, TX 75150
Phone (469) 554-0213

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDGDAA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1841282290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850069",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751850069",
            "telephone_number": "972-270-0600",
            "fax_number": "972-270-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 CHILDRESS AVE STE A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502808",
            "telephone_number": "972-681-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1645 N Town East Blvd",
            "address_2": "Suite 146",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751504146",
            "country_code": "US",
            "telephone_number": "972-270-0600",
            "fax_number": "972-270-0051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHADE",
        "first_name": "CRISTY",
        "middle_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "F1971",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "F1971",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "F1971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097798503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097798504",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097798502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.