Active NPI
Timothy Schroer, D.O.
- Emergency Medicine Physician
- Chicago Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036-112038
- Practice address
- 1423 Chicago Rd
Chicago Heights, IL 60411-3400 - Phone
- (708) 756-1000
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 02003312A | IN | |
| Emergency Medicine Physician | 207P00000X | 036-112038 | IL | Primary |
Addresses
Primary practice location
1423 Chicago Rd
Chicago Heights, IL 60411-3400
Mailing address
555 W Court St
Kankakee, IL 60901-3675
Phone (888) 828-3192
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036112038 | Medicaid | IL | |
| 0097714 | Medicaid | OH | |
| 4622394 | Other | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-112038 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Current | Accepting new patients |
| Foundation for Emergency Services | Emergency Medicine | Past | Accepting new patients |
| Emergency Care & Health Organization, LTD | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine of Indiana | Emergency Medicine | Past | Accepting new patients |
| Innovative Hospital Care, LLC | Past | Accepting new patients | |
| Emergency Care & Heallth Organization, LTD | Emergency Medicine | Past | Accepting new patients |
Locations
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000
702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200
Organizations & group practices 6
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.
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- NPI 1013951219
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- Emergency Medicine Physician
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- NPI 1972547248
-
- Emergency Medicine Physician
- Chicago Heights, IL
- NPI 1558303883
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1467468280
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1952356883
-
- Hospitalist Physician
- Fort Wayne, IN
- NPI 1922374172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1861433138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 W COURT ST",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609013675",
"telephone_number": "888-828-3192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1423 CHICAGO RD",
"city": "CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "604113400",
"telephone_number": "708-756-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROER",
"first_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "02003312A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-112038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036112038",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0097714",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4622394",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.