Individual provider Active NPI

Jeffrey Schwalb, DPM

  • Foot & Ankle Surgery Podiatrist
  • Warren, MI
National Provider Identifier
1962410589
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1177 Issued in MI
Practice address
21647 Ryan Rd
Warren, MI 48091
Phone
(586) 754-7777
Fax
(586) 754-7781
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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 1177 MI Primary

Addresses

Primary practice location

21647 Ryan Rd
Warren, MI 48091

Mailing address

21647 Ryan Rd
Warren, MI 48091
Phone (586) 754-7777

Other identifiers 1

IdentifierTypeStateIssuer
4423462MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 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
I20100602000837 MI Practitioner - Podiatry 4486783362 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Warren, MI
O20100930047473 MI DME Supplier - Physician - Podiatry 1153442926 Practice locations: Warren, MI

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Schwalb DPM PLLCGroup PAC ID 4789945841, 2 clinicians

Practice addresses (Care Compare)

5755 W Maple Rd
Suite 115
West Bloomfield, MI 48322-4415
Phone (248) 626-7180

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue80
Removal of skin lesions16
Removal of nail tissue180
Removal or shaving of skin growth25
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1177MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Schwalb DPM PLLC Foot & Ankle Surgery CurrentSince Dec 22, 2017 Accepting new patients
Jeffrey Schwalb Podiatrist Current Accepting new patients

Locations

21647 Ryan Rd
Warren, MI 48091
Phone (586) 754-7777

5755 W Maple Rd
Ste 115
West Bloomfield, MI 48322
Phone (248) 626-7180

Interoperability endpoints

  • Direct secure messaging: jschwalb1150642@direct.hfhs.org

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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 2

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1962410589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21647 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48091",
            "telephone_number": "586-754-7777",
            "fax_number": "586-754-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21647 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48091",
            "telephone_number": "586-754-7777",
            "fax_number": "586-754-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWALB",
        "first_name": "JEFFREY",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "1177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4423462",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.