NPIMap

Individual provider Active NPI

Sara Kaye Schallmo, D.O.

  • Obstetrics & Gynecology Physician
  • Livonia, MI
National Provider Identifier
1861698995
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L1152632 Issued in MI
Practice address
28711 8 Mile Rd
Livonia, MI 48152-2040
Phone
(248) 474-4590
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L1152632 MI Primary

Addresses

Primary practice location

28711 8 Mile Rd
Livonia, MI 48152-2040

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1863

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sschallmo96454@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20110831000327 MI Practitioner - Obstetrics/Gynecology 4385814300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan College of Medicine and Surgery, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Botsford General HospitalGroup PAC ID 2668385238, 46 clinicians

Practice addresses (Care Compare)

28100 Grand River Ave
Suite 306
Farmington Hills, MI 48336-5970
Phone (947) 521-2649

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.54 of 100Reported as group
Quality
93.24
Promoting interoperability
100
Improvement activities
40
Cost
79.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1152632MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Botsford General Hospital CurrentSince Sep 1, 2011 Accepting new patients
Botsford General Hospital Obstetrics & Gynecology CurrentSince Sep 1, 2011 Accepting new patients
Botsford General Hospital Current Accepting new patients
Botsford General Hospital Past Accepting new patients

Locations

28100 Grand River Ave
Ste 306
Farmington Hills, MI 48336
Phone (248) 476-1010

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

32754 Grand River Ave
Farmington Hls, MI 48336
Phone (248) 476-3280

28711 8 Mile Rd
Ste C
Livonia, MI 48152
Phone (248) 474-4590

28711 8 Mile Rd
Livonia, MI 48152
Phone (248) 474-4590

15540 Beech Daly Rd
Redford, MI 48239
Phone (313) 387-5253

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

Interoperability endpoints

  • Direct secure messaging: sschallmo1254690@epic00.shdirect.org

Organizations & group practices 4

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 8

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": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1861698995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1863",
            "fax_number": "047-522-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28711 8 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522040",
            "telephone_number": "248-474-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALLMO",
        "first_name": "SARA",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "L1152632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sschallmo96454@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "28711 8 Mile Rd",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481522040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.