Individual provider Active NPI

Norbert Schwer, MD

  • Surgery Physician
  • Niles, MI
National Provider Identifier
1962496380
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01049415 Issued in IN
Practice address
423 Sycamore St Ste 103
Niles, MI 49120-2374
Phone
(269) 479-3030
Fax
(269) 479-3032
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4301053760 MI
Surgery Physician 208600000X 01049415 IN Primary

Addresses

Primary practice location

423 Sycamore St Ste 103
Niles, MI 49120-2374

Mailing address

423 Sycamore St Ste 103
Niles, MI 49120-2374
Phone (269) 479-3030

Other identifiers 1

IdentifierTypeStateIssuer
200183080MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01049415INMDSurgery Physician
4301053760MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Home Physicians PLLC PastSince Jul 19, 2018 Accepting new patients

Organizations & group practices 1

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1962496380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 SYCAMORE ST STE 103",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202374",
            "telephone_number": "269-479-3030",
            "fax_number": "269-479-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 SYCAMORE ST STE 103",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202374",
            "telephone_number": "269-479-3030",
            "fax_number": "269-479-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWER",
        "first_name": "NORBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301053760",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01049415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200183080",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.