NPIMap

Individual provider Active NPI

Steffanie Schwutke, MD

  • Family Medicine Physician
  • Warren, MI
National Provider Identifier
1962410977
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
55072952 Issued in MI
Practice address
28351 Schoenherr Rd
Warren, MI 48088-6331
Phone
(586) 393-6500
Fax
(586) 393-6515
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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 55072952 MI Primary

Addresses

Primary practice location

28351 Schoenherr Rd
Warren, MI 48088-6331

Mailing address

28351 Schoenherr Rd
Warren, MI 48088-6331
Phone (586) 393-6500

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
I20041201000336 MI Practitioner - Family Practice 7012972045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ram Surendran MD PCGroup PAC ID 6507863479, 6 clinicians

Practice addresses (Care Compare)

1349 S Rochester Rd
Suite 100
Rochester Hills, MI 48307-3151
Phone (248) 759-5460

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55072952MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Care PLLC CurrentSince Oct 1, 2004 Accepting new patients
Ram Surendran M.D. PC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Family Practice Care PLLC CurrentSince Oct 1, 2004 Accepting new patients

Locations

1349 S Rochester Rd
Ste 100
Rochester Hills, MI 48307
Phone (248) 759-5460

28351 Schoenherr Rd
Ste A
Warren, MI 48088
Phone (586) 393-6500

28351 Schoenherr Rd
Warren, MI 48088
Phone (586) 393-6286

Interoperability endpoints

  • Direct secure messaging: sschwutke2305996@direct.trinity-health.org
  • Direct secure messaging: steffanie.schwutke.1@9152.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9152/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sschwutke1150669@direct.hfhs.org

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1962410977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28351 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886331",
            "telephone_number": "586-393-6500",
            "fax_number": "586-393-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28351 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886331",
            "telephone_number": "586-393-6500",
            "fax_number": "586-393-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWUTKE",
        "first_name": "STEFFANIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "55072952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.