NPIMap

Individual provider Active NPI

James Louis Schutzenhofer, MD

  • Internal Medicine Physician
  • Centralia, IL
National Provider Identifier
1851392229
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036088228 Issued in IL
Practice address
1050 Martin Luther King Drive
Centralia, IL 62801
Phone
(618) 545-1705
Fax
(618) 545-1703
NPI assigned
Aug 9, 2005
Last updated
Jul 8, 2007By the provider in NPPES
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
Internal Medicine Physician 207R00000X 036088228 IL Primary

Addresses

Primary practice location

1050 Martin Luther King Drive
Centralia, IL 62801

Mailing address

1050 Martin Luther King Drive
Centralia, IL 62801
Phone (618) 545-1705

Other identifiers 1

IdentifierTypeStateIssuer
036088228MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428000106 IL Practitioner - Internal Medicine 5193779221 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James L Schutzenhofer MD LLCGroup PAC ID 9830143957, 2 clinicians

Practice addresses (Care Compare)

1054 M L King Dr
Suite 220
Centralia, IL 62801-3066
Phone (618) 545-1705

400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.55
Promoting interoperability
100
Improvement activities
40
Cost
79.49

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Dec 11, 2000 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Dec 11, 2000 Accepting new patients
St. Mary's Hospital, Centralia, Illinois Current Accepting new patients
James L Schutzenhofer MD LLC Internal Medicine CurrentSince Feb 1, 2005 Accepting new patients
Physician Services Corporation of Southern Illinois Inc. Internal Medicine PastSince Jul 1, 2014 Accepting new patients

Locations

1050 Martin Luther King Dr
Centralia, IL 62801
Phone (618) 532-0998

1050 Martin Luther King Dr
Ste 111
Centralia, IL 62801
Phone (618) 436-5237

1054 Martin Luther King Dr
Ste 220
Centralia, IL 62801
Phone (618) 436-5982

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

Interoperability endpoints

  • Direct secure messaging: jschutzenhofer13142@direct-ehr-ssmhc.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851392229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MARTIN LUTHER KING DRIVE",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "62801",
            "telephone_number": "618-545-1705",
            "fax_number": "618-545-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MARTIN LUTHER KING DRIVE",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "62801",
            "telephone_number": "618-545-1705",
            "fax_number": "618-545-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTZENHOFER",
        "first_name": "JAMES",
        "middle_name": "LOUIS",
        "name_prefix": "Prof.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036088228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088228",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, IL

Sources for this page

Verify at the official NPI Registry.