Individual provider Active NPI

David A Schwartz, DO

  • Internal Medicine Physician
  • Glen Burnie, MD
National Provider Identifier
1932187580
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H0017744 Issued in MD
Practice address
203 Hospital Dr
Suite 302
Glen Burnie, MD 21061-6904
Phone
(410) 760-1222
Fax
(410) 761-8668
NPI assigned
Jan 4, 2006
Last updated
May 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2021

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 H0017744 MD Primary

Addresses

Primary practice location

203 Hospital Dr
Suite 302
Glen Burnie, MD 21061-6904

Mailing address

203 Hospital Dr
Suite 302
Glen Burnie, MD 21061-6904
Phone (410) 760-1222

Other identifiers 2

IdentifierTypeStateIssuer
5103088MedicaidMD
CJ2298OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826000498 MD Practitioner - Internal Medicine 7214963131 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0017744MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Feb 1, 2022 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

203 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 553-8351

203 Hospital Dr
Ste 302
Glen Burnie, MD 21061
Phone (410) 760-1222

300 Hospital Dr
Ste 215
Glen Burnie, MD 21061
Phone (410) 760-1222

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

Interoperability endpoints

  • Direct secure messaging: davidschwartz@das.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1932187580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 HOSPITAL DR",
            "address_2": "SUITE 302",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616904",
            "telephone_number": "410-760-1222",
            "fax_number": "410-761-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 HOSPITAL DR",
            "address_2": "SUITE 302",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616904",
            "telephone_number": "410-760-1222",
            "fax_number": "410-761-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H0017744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5103088",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ2298",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.