NPIMap

Individual provider Active NPI

David E Schultz II, M.D.

  • Family Medicine Physician
  • Evansville, IN
National Provider Identifier
1912987363
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01050928A Issued in IN
Practice address
1231 Washington SQ
Evansville, IN 47715-6807
Phone
(812) 479-6907
Fax
(812) 479-6967
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01050928A IN Primary

Addresses

Primary practice location

1231 Washington SQ
Evansville, IN 47715-6807

Mailing address

4933 Plaza East Blvd
Evansville, IN 47715-2813
Phone (812) 479-6907

Other identifiers 1

IdentifierTypeStateIssuer
200247960MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20081107000017 IN Practitioner - Family Practice 0345309258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Easter Seals Rehabilitation Center IncGroup PAC ID 8426135179, shared by 3 NPIs, 41 clinicians
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians
Evansville Primary Care LLCGroup PAC ID 7416965199, 6 clinicians

Practice addresses (Care Compare)

3701 Bellemeade Ave
Evansville, IN 47714-0137
Phone (812) 479-1411

4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 450-7338

4099 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 858-3051

4600 W Lloyd Expressway
Evansville, IN 47712-6517
Phone (812) 450-7246

4933 E Plaza E Blvd
Evansville, IN 47715-2813
Phone (812) 479-6907

600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-2239

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Evansville, IN, CCN 157529
  • Ascension at Home Home health agency, Evansville, IN, CCN 157281
  • Deaconess Home Health, LLC Home health agency, Evansville, IN, CCN 157565
  • Aseracare Hospice Hospice, Evansville, IN, CCN 151590
  • Heart to Heart Hospice of Evansville, LLC Hospice, Evansville, IN, CCN 151633
  • Gentiva I Hospice, Evansville, IN, CCN 151558
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056
  • The Women'S Hospital Hospital, Newburgh, IN, CCN 150149
  • Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100
  • Gibson General Hospital Hospital, Princeton, IN, CCN 151319
  • Envive of Evansville Nursing home, Evansville, IN, CCN 155716

Merit-based Incentive Payment System (MIPS)

Final score
96.17 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
78.84

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth30
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01050928AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Hospital Inc CurrentSince Oct 1, 2013 Accepting new patients
Deaconess Hospital, Inc Family Medicine CurrentSince Oct 1, 2013 Accepting new patients
Deaconess Hospital, Inc Family Medicine Current Accepting new patients
Evansville Primary Care LLC Family Medicine CurrentSince Sep 3, 2002 Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

827 S Green River Rd
Evansville, IN 47715
Phone (812) 473-0307

3844 N 1st Ave
Evansville, IN 47710
Phone (812) 421-2884

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

4550 W Lloyd Expy
Evansville, IN 47712
Phone (812) 421-2884

4933 E Plaza East Blvd
Evansville, IN 47715
Phone (812) 401-8720

1231 Washington Sq
Evansville, IN 47715
Phone (812) 479-6907

4133 Gateway Blvd
Ste 290
Newburgh, IN 47630
Phone (812) 842-2701

Interoperability endpoints

  • Direct secure messaging: dschultz4791@direct.deaconess.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Envive of EvansvilleEvansville, IN, CCN 155716 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1912987363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4933 PLAZA EAST BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152813",
            "telephone_number": "812-479-6907",
            "fax_number": "812-479-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 WASHINGTON SQ",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477156807",
            "telephone_number": "812-479-6907",
            "fax_number": "812-479-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01050928A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200247960",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.