Individual provider Active NPI

Jeremy A Schwartz, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Evanston, IL
National Provider Identifier
1861739484
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005545 Issued in IL
Practice address
3580 Grove St
Evanston, IL 60203-1821
Phone
(847) 370-8362
NPI assigned
Jan 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016005545 IL Primary

Addresses

Primary practice location

3580 Grove St
Evanston, IL 60203-1821

Mailing address

3580 Grove St
Evanston, IL 60203-1821
Phone (773) 766-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130523000392 IL Practitioner - Podiatry 8224276795 Reassigns benefits to 1 organization
Practice locations: Winfield, IL; Willowbrook, IL; Hillside, IL; Glenview, IL; Chicago, IL; Berwyn, IL; Evanston, IL
I20210323000777 WI Practitioner - Podiatry 8224276795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Madison, WI 53703
Phone (773) 766-9444

3580 Grove St
Evanston, IL 60203-1821
Phone (773) 766-9444

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue4286
Removal or shaving of skin growth563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005545ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeremy a Schwartz DPM Wisconsin LTD CurrentSince Jul 1, 2021 Accepting new patients
Jeremy Arron Schwartz DPM LTD CurrentSince Jan 1, 2023 Accepting new patients
Edgewater Beach Foot and Ankle Center, P.C. PastSince Aug 2, 2020 Accepting new patients

Locations

8633 32nd Ave
Kenosha, WI 53142
Phone (262) 694-8300

301 S Bedford St
Ste 1
Madison, WI 53703
Phone (773) 766-9444

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1861739484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 GROVE ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031821",
            "telephone_number": "773-766-9444",
            "fax_number": "773-913-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 GROVE ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031821",
            "telephone_number": "847-370-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "JEREMY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.